Organization
GUDE MEDICAL S C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLIE GUDE MD (PRESIDENT)
(630) 636-1809
Entity
Organization
Contact information
Practice address
2302 TWILIGHT DR, AURORA, IL 60503-6704
(630) 636-1809
Mailing address
2302 TWILIGHT DR, AURORA, IL 60503-6704
(630) 636-1809
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
207R00000X
Internal Medicine Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036101250
—
IL
Enumeration date
07/18/2022
Last updated
08/29/2022
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