Chad Randolph PT

NPI 1033196100 - Physical Therapist - 225100000X

NPI Details
NPI 1033196100
Gender Male
Enumeration Date 12/29/2005
Last Updated 10/18/2012
Entity Type Individual
Active Over 12 years ago
Practice Location
3865 E MAIN ST
ST CHARLES IL, 60174-2424, US
Phone (630) 587-5788
Business Location
SUITE 1020
CHICAGO IL, 60606-1216, US
Phone (312) 640-0329
Taxonomy Code 225100000X
License State Illinois
License Number 070-007949
Remove 1033196100 NPI Number

According to our database, Chad Randolph PT NPI is 1033196100, taxonomy code is 225100000X and license number is 070-007949, license state is located at Illinois. Chad Randolph PT physically located at 3865 E Main St, St Charles IL, 60174-2424. NPI Number Chad Randolph PT has the Individual type.

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1033196100 NPI number is provided on an as is basis without warranty of any kind. 1033196100 is maintained by the National Plan & Provider Enumeration System. The contents of Chad Randolph PT are for informational purposes only.