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Individual

BARBARA ANN SUDHOLT

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
340 W LINCOLN ST STE 300, BELLEVILLE, IL 62220-1900
(618) 235-4883
(618) 235-9573
Mailing address
340 W LINCOLN ST STE 300, BELLEVILLE, IL 62220-1900
(618) 235-4883
(618) 235-9573

Taxonomy

Speciality
Code
Description
License number
State
207RC0200X
Critical Care Medicine (Internal Medicine) Physician
36078217
IL
207RP1001X
Pulmonary Disease Physician
Primary
36078217
IL
207RS0012X
Sleep Medicine (Internal Medicine) Physician
36078217
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
08215136
FEDERAL BLUE CROSS
IL
01
122577
HEALTHLINK
IL
01
2210404001
CIGNA
IL
01
235930
HARMONY
IL
01
28568
ANTHEM
MO
01
300242
HEALTH PARTNERS
IL
05
36078217
IL
01
371067092003
PRUDENTIAL
IL
01
4466070
AETNA
IL
01
48-09006
UNITED HEALTHCARE
IL
01
8215136
BCBS OF IL
IL
01
88170
HEALTH ALLIANCE
IL
01
BLC21543
BLUE CHOICE OF MISSOURI
MO
01
CF6007
RAILROAD MEDICARE
IL
01
L013062
TRICARE
IL
Enumeration date
01/12/2007
Last updated
09/27/2007
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