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Contact Information

STEPHEN RUDAWSKI, BSPHARM
161 S US HIGHWAY 12
FOX LAKE, IL60020-1796
 Phone: 847-587-0505
 Fax: 847-587-2633
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pharmacist

183500000X
 

Pharmacotherapy

1835P1200X
Indicates primary specialty

NPI Profile & details for STEPHEN RUDAWSKI · (Male)

NPI # 1972909059
Status Active
Credentials BSPHARM
Entity Individual
Enumeration date 11/17/2014
Last updated 11/17/2014 - About 12 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 051031771
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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