Wudel, Russell E
Wudel, Russell E is an individual health care provider with primary practice located at 744 Essington Rd , Joliet IL 60435-4912. He recently has only one registered license in Allopathic & Osteopathic Physicians / Orthopaedic Surgery, which is considered as his primary health care specialty. Wudel, Russell E can be contacted via phone (815) 729-0700.Contact Information
Primary practice address
744 Essington Rd
Joliet IL 60435-4912
Phone: (815) 729-0700
Fax: (815) 729-0700
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Orthopaedic Surgery | 207X00000X | 085001679 | Illinois |
Profile Details
| NPI number | 1720188980 |
|---|---|
| LBN Legal business name | Wudel, Russell E |
| Credentials | Physician's Assistant Certified (PA-C) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 25th, 2006 |
| Last updated | Jul 21st, 2022 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1720188980 | NPPES |
| Illinois | MEDICAID | 085001679 |
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