Wuller, Judith L

Wuller, Judith L is an sole proprietor health care provider with primary practice located at 211 S 3Rd St , Belleville IL 62220-1915. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Internal Medicine. Allopathic & Osteopathic Physicians / Emergency Medicine is her primary health care specialty. Wuller, Judith L can be contacted via phone (618) 234-2120.

Contact Information

Primary practice address
211 S 3Rd St Belleville IL 62220-1915
Phone: (618) 234-2120
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X Illinois
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X Illinois

Profile Details

NPI number 1114942174
LBN Legal business name Wuller, Judith L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 12th, 2006
Last updated Oct 19th, 2007 - about 18 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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Identifiers

StateTypeNumberIssuer
All States NPI 1114942174 NPPES
Illinois Other 0008232070 BLUECROSS BLUESHIELD
Illinois Other 08232204 BLUECROSS BLUESHIELD
Illinois Other 06032182 BLUECROSS BLUESHIELD
Illinois Other 08232205 BLUECROSS BLUESHIELD

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