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Audra Rauh
General Practice Dentistry in Champaign, Illinois
NPI 1275235632

Audra Rauh is a General Practice Dentistry based in San Antonio, IL and is specialized in General Practice. Audra Rauh practices in Champaign, IL. The NPI Number for Audra Rauh is 1275235632 and holds a License No. (Illinois).

The current practice location address for Audra Rauh is 1905 W Springfield Ave, Champaign, IL and can be reached out via phone at 217-355-6396.

Location: 1905 W Springfield Ave, Champaign, IL, 78229-3901
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1275235632
Provider Name
Audra Rauh
Credential
Provider Entity Type
Individual
Gender
Female
Address
1905 W Springfield Ave, Champaign, IL, 78229-3901
Phone Number
217-355-6396
Fax Number
Provider Enumeration Date
03/20/2023
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1905 W Springfield Ave
City
Champaign
State
Illinois
Zip
61821-3007
Phone Number
217-355-6396
Fax Number
person
Provider Business Mailing Address Details
Address
1905 W Springfield Ave
City
Champaign
State
Illinois
Zip
61821-3007
Phone Number
217-355-6396
Fax Number
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
019.034680 (Illinois)
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.
person
Provider's Taxonomy Details 2
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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