Shady, Trudy M

Shady, Trudy M is an individual health care provider with primary practice located at 4600 Memorial Dr Ste 200 , Belleville IL 62226-5363. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Pulmonary Disease, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Pulmonary Disease is her primary health care specialty. Shady, Trudy M can be contacted via phone (618) 233-2220.

Contact Information

Primary practice address
4600 Memorial Dr Ste 200 Belleville IL 62226-5363
Phone: (618) 233-2220
Fax: (618) 233-2555
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X R3L47 Missouri
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 036-089376 Illinois
Allopathic & Osteopathic Physicians / Pulmonary Disease 207RP1001X 036-089376 Illinois

Profile Details

NPI number 1417940354
LBN Legal business name Shady, Trudy M
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 25th, 2005
Last updated Sep 2nd, 2020 - about 4 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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