Individual
AUDREY RUTH SHOEMAKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
422 W WHITE ST, CLINTON, IL 61727-2272
(217) 935-9571
Mailing address
422 W WHITE ST, CLINTON, IL 61727-2272
(217) 935-9571
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
036173131
IL
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/30/2022
Last updated
08/06/2025
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