Edmund R. Rudnicke II, Prof Corp
Organization Active NPI General Practice Dentistry · St Joseph, IL
NPI 1750484036 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1750484036
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Practice Dentistry 1223G0001X
- Legal business name
- EDMUND R. RUDNICKE II, PROF CORP
- Practice address
- 302 E Lincoln
St Joseph, IL 61873 - Phone
- (217) 469-2202
- Fax
- (217) 469-2213
- NPI assigned
- Sep 5, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Edmund R Rudnicke II, DDS
- Title
- President
- Phone
- (217) 469-2202
Practitioners 1
-
CHI Kim Le, D.M.D.
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry |
1223G0001X | IL | Yes |
Addresses
Primary practice location
302 E Lincoln
St Joseph, IL 61873
Mailing address
302 E Lincoln
PO Box 678
Saint Joseph, IL 61873
Phone (217) 469-2202
Other providers in St Joseph, IL
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- Andrea Canas
- Christie Clinic, LLC
- Sherdon Wade Cordova
- Jennifer L Dahman
- Illini Christian Ministries Inc
- Richard Kenneth Ingram
- JMP Counseling and Tutoring Services, LLC
- Leslie Renee Johnson
- Jill Elizabeth Kellner
All providers in St Joseph, IL · General Practice Dentistry in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.