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1770782062
SHAUN MICHAEL RUDICIL
CHAMPAIGN, IL
NPI
1770782062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085002994)
Enumeration Date
2007-07-16
Last Update Date
2023-11-29
Business Address
SHAUN MICHAEL RUDICIL
3101 FIELDS SOUTH DR
CHAMPAIGN, IL 61822-3743
Phone number: 217-366-1237
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Mailing Address
SHAUN MICHAEL RUDICIL
2200 FORT JESSE RD SUITE 250
NORMAL, IL 61761-6286
Phone number: 309-454-1616
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