Provider Demographics
NPI:1558066423
Name:DUJKA, ABIGAIL (MS, RDN, LDN)
Entity Type:Individual
Prefix:
First Name:ABIGAIL
Middle Name:
Last Name:DUJKA
Suffix:
Gender:F
Credentials:MS, RDN, LDN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14210 S HIGHLAND RIDGE CIR UNIT 308
Mailing Address - Street 2:
Mailing Address - City:LOCKPORT
Mailing Address - State:IL
Mailing Address - Zip Code:60441-4974
Mailing Address - Country:US
Mailing Address - Phone:708-738-8399
Mailing Address - Fax:
Practice Address - Street 1:14210 S HIGHLAND RIDGE CIR UNIT 308
Practice Address - Street 2:
Practice Address - City:LOCKPORT
Practice Address - State:IL
Practice Address - Zip Code:60441-4974
Practice Address - Country:US
Practice Address - Phone:708-738-8399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-31
Last Update Date:2023-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered