Individual
CHARLENE RUDISILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1334 N 2080 E RD, WOODLAND, IL 60974-6097
(815) 473-4329
Mailing address
PO BOX 143, WOODLAND, IL 60974-0143
(815) 473-4329
Taxonomy
Speciality
Code
Description
License number
State
3747A0650X
Attendant Care Provider
Primary
—
—
Other
Enumeration date
02/10/2021
Last updated
02/10/2021
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