Knudson, Randal Alan

Knudson, Randal Alan is an individual health care provider with primary practice located at 1893 Sheridan Rd Suite 315, Highland Park IL 60035-2628. He recently has only one registered license in Dental Providers / General Practice, which is considered as his primary health care specialty. Knudson, Randal Alan can be contacted via phone (847) 432-0860.

Contact Information

Primary practice address
1893 Sheridan Rd Suite 315 Highland Park IL 60035-2628
Phone: (847) 432-0860
Fax: (847) 432-2344
Website:
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Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X Illinois

Profile Details

NPI number 1821011388
LBN Legal business name Knudson, Randal Alan
Credentials Doctor of Dental Surgery (DDS)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2006
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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