Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Isaac Tudor, DO

Individual provider Emergency Medicine Physician · NPI 1568103075

Isaac Tudor, DO is an Emergency Medicine in Normal, Illinois. Qualified in 2022, 4 years ago. Practices as a sole proprietor and works from 2 locations. Licensed in Illinois.

Years since qualifying
4
Licensed in
IL
In the registry since
2022
What do these letters mean?
DO — Doctor of Osteopathic Medicine
A fully licensed physician, trained like an MD with additional musculoskeletal training. Equivalent practice rights in all 50 states.

See every abbreviation used in this directory →

Practice location Address checks out

1304 Franklin Ave Ste 380
Normal, IL 61761-3558
Phone: (309) 268-5130
Fax: (309) 268-5784
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 530 Ne Glen Oak Ave, Peoria, IL 61637-0001 — (309) 655-2109

Specialties & licences

Emergency Medicine Physician (primary) Taxonomy 207P00000X · Licence 036173796 (IL)

Record details

NPI number1568103075
Entity typeIndividual (Type 1)
GenderMale
Credentials DO
Sole proprietorYes
NPI enumeratedApril 6, 2022
Last updated in NPPESAugust 5, 2025
Certification dateJuly 31, 2025
Mailing address611 W Park St, Fapc, Urbana, IL 61801-2501

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyEMERGENCY MEDICINE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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