Provider Demographics
NPI:1356523054
Name:RUDNY, JUDY M (LCSW)
Entity type:Individual
Prefix:MRS
First Name:JUDY
Middle Name:M
Last Name:RUDNY
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1134 E MADISON ST
Mailing Address - Street 2:
Mailing Address - City:LOMBARD
Mailing Address - State:IL
Mailing Address - Zip Code:60148-3119
Mailing Address - Country:US
Mailing Address - Phone:630-965-9090
Mailing Address - Fax:630-627-5121
Practice Address - Street 1:8A250 COLONY CT
Practice Address - Street 2:
Practice Address - City:APPLE RIVER
Practice Address - State:IL
Practice Address - Zip Code:61001-5400
Practice Address - Country:US
Practice Address - Phone:630-965-9090
Practice Address - Fax:630-627-5121
Is Sole Proprietor?:No
Enumeration Date:2007-12-04
Last Update Date:2022-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL149.0127401041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical