Individual
MRS. JUDITH ANN AYDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
CRNA
Contact information
Practice address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2403
(217) 528-7541
Mailing address
1025 S 6TH ST, SPRINGFIELD, IL 62703-2499
(217) 528-7541
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
041231721
IL
367500000X
Certified Registered Nurse Anesthetist
Primary
209001248
IL
Other
Enumeration date
03/23/2006
Last updated
02/24/2020
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