SHAUN MICHAEL RUDICIL

CHAMPAIGN, IL
NPI1770782062
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: IL  085002994)
Enumeration Date2007-07-16
Last Update Date2023-11-29
Business Address
SHAUN MICHAEL RUDICIL
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-1237
Mailing Address
SHAUN MICHAEL RUDICIL
2200 FORT JESSE RD SUITE 250
NORMAL, IL 61761-6286
Phone number: 309-454-1616
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