Rudicil, Shaun Michael

Rudicil, Shaun Michael is an individual health care provider with primary practice located at 3101 Fields South Dr , Champaign IL 61822-3743. He recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant, which is considered as his primary health care specialty. Rudicil, Shaun Michael can be contacted via phone (217) 366-1237.

Contact Information

Primary practice address
3101 Fields South Dr Champaign IL 61822-3743
Phone: (217) 366-1237
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Physician Assistant 363A00000X 085002994 Illinois

Profile Details

NPI number 1770782062
LBN Legal business name Rudicil, Shaun Michael
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 16th, 2007
Last updated Nov 29th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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