Kati Rudin, | |
1701 Curtis Rd, Champaign, IL 61822-9678 | |
(217) 365-2853 | |
Not Available |
Full Name | Kati Rudin |
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Gender | Female |
Speciality | Dietitian, Registered |
Location | 1701 Curtis Rd, Champaign, Illinois |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
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1215652136 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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133V00000X | Dietitian, Registered | (* (Not Available)) | Primary |
Provider Name | Carle Health Care Incorporated |
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Provider Type | Part B Supplier - Clinic/group Practice |
Provider Identifiers | NPI Number: 1154653947 PECOS PAC ID: 3577515774 Enrollment ID: O20100513000829 |
Mailing Address | Practice Location Address |
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Kati Rudin, 611 W Park St, Urbana, IL 61801-2529 Ph: (217) 383-6792 | Kati Rudin, 1701 Curtis Rd, Champaign, IL 61822-9678 Ph: (217) 365-2853 |
Kimberly Spirek, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 310 E Springfield Ave Apt 1208, Champaign, IL 61820 Phone: 847-975-4464 | |
Madeline Puto, Dietitian Medicare: Not Enrolled in Medicare Practice Location: 109 W Ells Ave, Champaign, IL 61820 Phone: 314-681-7237 | |
Laura Ann Jacob, R.D. Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1801 W Windsor Rd, Champaign, IL 61822 Phone: 217-366-8144 | |
Martha Finn Trenkamp, RD Dietitian Medicare: Not Enrolled in Medicare Practice Location: 1701 W. Curtis Rd., Champaign, IL 61822 Phone: 217-365-6205 | |
Maryjean Mccallister, RD Dietitian Medicare: Accepting Medicare Assignments Practice Location: 1813 W Kirby Ave, Champaign, IL 61821 Phone: 217-383-3490 Fax: 217-383-3439 | |
Anna Crawford, RDN, LDN Dietitian Medicare: Not Enrolled in Medicare Practice Location: 44 E Main St Ste 406, Champaign, IL 61820 Phone: 217-721-4042 |