Williams, Randall Earl

Williams, Randall Earl is an individual health care provider with primary practice located at 27750 W Highway 22 Suite 240, Barrington IL 60010-2379. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Williams, Randall Earl can be contacted via phone (847) 829-1600.

Contact Information

Primary practice address
27750 W Highway 22 Suite 240 Barrington IL 60010-2379
Phone: (847) 829-1600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 036091021 Illinois

Profile Details

NPI number 1720030646
LBN Legal business name Williams, Randall Earl
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 17th, 2006
Last updated Jul 18th, 2008 - about 16 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 1720030646 NPPES
Illinois MEDICAID 036091021
Illinois Other P00166673

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