Individual
DR. JOHN SUDKAMP
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
602 WEST UNIVERSITY AVE, URBANA, IL 61801
(217) 383-3303
Mailing address
PO BOX 6002, URBANA, IL 61803-6002
(217) 337-4105
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
036105989
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036105989
—
IL
Enumeration date
04/05/2006
Last updated
06/18/2012
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