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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

BRENT A RUDISEL, D.O.

Active

Emergency Medicine · FAIRFIELD, IL

Registration Details

NPI Number
1477652287
Provider Type
Individual
Gender
Male
NPI Issued
Sep 21, 2006 (19.621534097559 yrs)
Last Updated
Jul 25, 2022
Licenses
036111757 (IL)
02002497A (IN)

Practice Information

Address
503A N 1ST ST
FAIRFIELD, IL, 628372443
Browse IL providers · Browse ZIP 62837
Phone
6188422491
Fax
6188422497
Primary Specialty
Emergency Medicine
207P00000X
Additional Specialty
Emergency Medicine

Other Emergency Medicine Providers in FAIRFIELD, IL

Name Credential NPI
DR. ANDREW MICHAEL BRITT D.O 1033115043
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.