Individual
ANDREA NICOLE RULL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
502 N MAIN ST, BRIGHTON, IL 62012-1042
(618) 372-3232
Mailing address
109 S HICKORY ST, BUNKER HILL, IL 62014-1433
(618) 420-2996
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
Primary
242005356
IL
Other
Enumeration date
06/15/2019
Last updated
06/15/2019
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