Individual
GUY AUDET
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1600 W WALNUT ST, JACKSONVILLE, IL 62650-1136
(217) 243-5584
(217) 243-5877
Mailing address
PO BOX 1977, SPRINGFIELD, IL 62705-1977
(217) 544-6464
(217) 757-6021
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
035099
HEALTH ALLIANCE
IL
01
—
06922921
BC/BS
IL
01
—
273716
HEALTHLINK
IL
01
—
49743
GROUP HEALTH
IL
Enumeration date
08/05/2006
Last updated
07/30/2007
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