| Stephen M Rudawski, DO | |
|
611 W. Park St., Urbana, IL 61801-2500 | |
| (217) 383-3170 | |
| (217) 383-7650 |
| Full Name | Stephen M Rudawski |
|---|---|
| Gender | Male |
| Speciality | Family Medicine |
| Location | 611 W. Park St., Urbana, Illinois |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053403055 | NPI | - | NPPES |
| P00362629 | Other | IL | RAILROAD |
| 0533210001 | Other | IL | DMERC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 036115719 (Illinois) | Primary |
| Entity Name | Hoopeston Community Memorial Hospital |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1043683014 PECOS PAC ID: 3577456037 Enrollment ID: O20040210000011 |
| Entity Name | Carle Health Care Incorporated |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
| Entity Name | Carle West Physician Group Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1467074138 PECOS PAC ID: 8921420308 Enrollment ID: O20200613000147 |
| Mailing Address | Practice Location Address |
|---|---|
| Stephen M Rudawski, DO 611 W. Park St., Bwpc, Urbana, IL 61801-2500 Ph: (217) 383-6792 | Stephen M Rudawski, DO 611 W. Park St., Urbana, IL 61801-2500 Ph: (217) 383-3170 |
Anuja Bedi, D.O, M.P.H Family Medicine Medicare: Medicare Enrolled Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Sharon L. Moy, D.O Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1109 S Lincoln Ave, Urbana, IL 61801 Phone: 217-244-5324 | |
Simone R Hampton, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3170 Fax: 217-383-7650 | |
Manada Khaing, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 | |
Christian E Wagner, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1818 E Windsor Rd, Urbana, IL 61802 Phone: 217-255-9670 Fax: 217-255-9650 | |
Muzammal Ahmed, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 611 W Park St, Urbana, IL 61801 Phone: 217-383-3311 |