# EDWARD A TRUDEAU MD SC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669752036
- **Authorized official:** EDWARD A TRUDEAU M.D. (PHYSICIAN)
- **Authorized official phone:** (217) 788-3377

## Contact information

- **Practice address:** 319 E MADISON ST STE 2A, SPRINGFIELD, IL 62701-1035
- **Practice address phone:** (217) 788-3377
- **Practice address fax:** (217) 788-5505
- **Mailing address:** 319 E MADISON ST STE 2A, SPRINGFIELD, IL 62701-1035
- **Mailing address phone:** (217) 788-3377
- **Mailing address fax:** (217) 788-5505

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | NULL | Yes |
| 208100000X | Physical Medicine & Rehabilitation Physician | — | — | Yes |

## Other

- **Enumeration date:** 08/17/2011
- **Last updated:** 07/12/2019