Individual provider · Type 1 NPI

Mary Ludolph, MD

Diagnostic Radiology Physician · Springfield, IL

NPI number 1376580225 Active

Practice location

3050 Montvale Dr Ste A
Springfield, IL 62704-6924

Call (217) 726-8096 Map

Mailing address

2040 W Iles Ave, Suite C
Springfield, IL 62704-4183

Specialties and licenses

TaxonomyCodeLicense
Diagnostic Radiology Physician Primary 2085R0202X036114091 (IL)

Diagnostic Radiology Physician: A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

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About NPI 1376580225

Mary Ludolph, MD's National Provider Identifier is 1376580225, issued on Jun 1, 2006. The primary taxonomy on file is Diagnostic Radiology Physician (2085R0202X), and the practice location is in Springfield, IL. The record was last updated on Aug 4, 2015.