Individual
DR. HENRY JOSEPH RUDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
411 LATHROP AVE UNIT 3E, RIVER FOREST, IL 60305-1894
(708) 542-9359
(708) 575-0882
Mailing address
411 LATHROP AVE UNIT 3E, RIVER FOREST, IL 60305-1894
(708) 542-9359
(708) 575-0882
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036046038
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0336-012723
ILLINOIS NARCOTIC LICENSE
IL
01
—
036046038
ILLINOIS MEDICAL LICENSE
IL
Enumeration date
12/14/2011
Last updated
03/07/2023
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