Randolph, Michael Christopher

Randolph, Michael Christopher is an individual health care provider with primary practice located at 917 Sherwood Dr Ste 201 , Lake Bluff IL 60044-2235. He recently has only one registered license in Behavioral Health & Social Service Providers / Behavior Technician, which is considered as his primary health care specialty. Randolph, Michael Christopher can be contacted via phone (855) 318-6404.

Contact Information

Primary practice address
917 Sherwood Dr Ste 201 Lake Bluff IL 60044-2235
Phone: (855) 318-6404
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Behavior Technician 106S00000X Illinois

Profile Details

NPI number 1922752153
LBN Legal business name Randolph, Michael Christopher
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Feb 7th, 2022
Last updated Feb 7th, 2022 - about 3 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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