Individual
SHAUN MICHAEL RUDICIL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
3101 FIELDS SOUTH DR, CHAMPAIGN, IL 61822-3743
(217) 366-1237
Mailing address
1120 N MELVIN ST, GIBSON CITY, IL 60936-1477
(217) 784-4251
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085002994
IL
Other
Enumeration date
07/16/2007
Last updated
10/02/2025
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