Organization
PERRY RUDICH MD SC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PERRY RUDICH MD (OWNER)
(847) 498-1780
Entity
Organization
Contact information
Practice address
2600 BOB O LINK LN, NORTHBROOK, IL 60062-5914
(847) 498-1780
Mailing address
2600 BOB O LINK LN, NORTHBROOK, IL 60062-5914
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
036037986
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0031600044
BCBS
IL
Enumeration date
10/02/2007
Last updated
10/02/2007
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