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Contact Information

EDMUND R. RUDNICKE II, PROF CORP
302 E LINCOLN
SAINT JOSEPH, IL61873
 Phone: 217-469-2202
 Fax: 217-469-2213
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

General Practice

1223G0001X
Indicates primary specialty

NPI Profile & details for EDMUND R RUDNICKE II PROF CORP · (Female)

NPI Number 1750484036
Status Active
Credentials
Entity Individual
Enumeration date 09/05/2006
Last updated 08/22/2020 - About 6 years ago
Sole proprietor 1 Not specified
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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