Randolph, Christopher

Randolph, Christopher is an individual health care provider with primary practice located at 211 W Chicago Ave Ste 211, Hinsdale IL 60521-3355. He recently has only one registered license in Behavioral Health & Social Service Providers / Clinical Neuropsychologist, which is considered as his primary health care specialty. Randolph, Christopher can be contacted via phone (708) 216-2662.

Contact Information

Primary practice address
211 W Chicago Ave Ste 211 Hinsdale IL 60521-3355
Fax: (708) 216-5617
Website:

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical Neuropsychologist 103G00000X 71004821 Illinois

Profile Details

NPI number 1447230529
LBN Legal business name Randolph, Christopher
Credentials PHD
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 17th, 2006
Last updated Mar 4th, 2010 - about 14 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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Identifiers

StateTypeNumberIssuer
All States NPI 1447230529 NPPES
Illinois MEDICAID 71004821

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