EDMUND R. RUDNICKE II, PROF CORP
NPI 1750484036
Dentist - General Practice in St Joseph, IL

Q: What is Edmund R. Rudnicke II, Prof Corp's NPI number?

The NPI number for Edmund R. Rudnicke II, Prof Corp is 1750484036. It was assigned to this organization in the NPPES registry on September 5, 2006.

Q: What is Edmund R. Rudnicke II, Prof Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

Active since September 05, 2006

302 E LINCOLN, ST JOSEPH, IL 61873(217) 469-2202(217) 469-2213 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Edmund R. Rudnicke Ii, Prof Corp NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

EDMUND R. RUDNICKE II, PROF CORP (NPI 1750484036) is a healthcare organization registered as a general practice in St Joseph, Illinois and active in the NPI registry since September 2006. The organization lists Edmund R Rudnicke, President, as its authorized official.

NPPES Registry Identity

NPI1750484036

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameEDMUND R. RUDNICKE II, PROF CORP

Location Address302 E LINCOLNSt Joseph, IL 61873

Mailing Address302 E Lincoln, Po Box 678Saint Joseph, IL 61873 · (217) 469-2202 · Fax (217) 469-2213

Phone(217) 469-2202

Fax(217) 469-2213

Organization SubpartNo

Authorized OfficialEdmund R RudnickePresident · (217) 469-2202

Enumeration DateSeptember 5, 2006

Last NPPES UpdateAugust 22, 2020

✔ NPI 1750484036 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

302 E LINCOLN, St Joseph, IL 61873

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CHI KIM LE D.M.D.

Dentist

302 E LINCOLN
ST JOSEPH, IL 61873

Champaign County (217) 469-2202

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Edmund R. Rudnicke II, Prof Corp's NPI number?

The NPI number for Edmund R. Rudnicke II, Prof Corp is 1750484036. It was assigned to this organization in the NPPES registry on September 5, 2006.

Where is Edmund R. Rudnicke II, Prof Corp located?

Edmund R. Rudnicke II, Prof Corp is located at 302 E Lincoln, St Joseph, IL 61873. The listed phone number is (217) 469-2202.

What is Edmund R. Rudnicke II, Prof Corp's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Edmund R. Rudnicke II, Prof Corp was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.