Individual
JUDY S BRUMMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10874 E 2000TH AVE, SHUMWAY, IL 62461-2267
(217) 821-1428
Mailing address
10874 E 2000TH AVE, SHUMWAY, IL 62461-2267
(217) 868-2786
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036-107334
IL
207P00000X
Emergency Medicine Physician
57-000425
OH
207P00000X
Emergency Medicine Physician
MDR-4086
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036107334
—
IL
Enumeration date
07/17/2006
Last updated
07/10/2013
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