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Individual

LINDSAY H RUDHMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PA-C

Contact information

Practice address
1611 W HARRISON ST # 400, CHICAGO, IL 60612-4861
(312) 243-4244
(312) 942-1517
Mailing address
1 WESTBROOK CORPORATE CTR STE 240, WESTCHESTER, IL 60154-5764
(708) 236-2601
(312) 942-1517

Taxonomy

Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085003203
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1633878
BCBS PPO
IL
Enumeration date
04/11/2008
Last updated
04/05/2013
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