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Individual
DR. CHARLES W. RUNDE
Active
Individual
DR. CHARLES W. RUNDE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036063908
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0022540104
BLUE CROSS BLUE SHIELD IL
IL
01
—
002589
HEALTH ALLIANCE
IL
01
—
036063908
ILLINOIS LICENSE
IL
01
—
080152119
RAILROAD MEDICARE
IL
01
—
170985
PERSONAL CARE
IL
01
—
246811
HEALTHLINK
IL
01
—
336028350
ILLINOIS CONTROLLED SUBSTANCE LICENSE
IL
05
—
371391171004
—
IL
01
—
561920
MEDICARE GROUP
IL
01
—
873641
FIRST HEALTH/ COVENTRY
—
Enumeration date
03/27/2006
Last updated
03/07/2023
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