Randy L. Kettering Phd, Pc

LBN: Randy L. Kettering Phd, Pc
Randy L. Kettering Phd, Pc is an health care organization with primary practice located at 807 Davis St Unit 605 , Evanston IL 60201-4820. The organization recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as the primary health care specialty. Randy L. Kettering Phd, Pc can be contacted via phone (847) 934-8475, or through Kettering, Randy Lee via phone (847) 934-8475.

Contact Information

Primary practice address
807 Davis St Unit 605 Evanston IL 60201-4820
Phone: (847) 934-8475
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kettering, Randy Lee PH.D.
Phone: (847) 934-8475

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X 060004613 Illinois

Profile Details

NPI number 1194937359
LBN Legal business name Randy L. Kettering Phd, Pc
DBA Doing business as
Authorized official Kettering, Randy Lee PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Oct 6th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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