Revolution Training Centers Llc - No. 1

NPI 1164766606 - Psychologist - 103T00000X

NPI Details
NPI 1164766606
Enumeration Date 11/21/2012
Last Updated 01/22/2014
Entity Type Healthcare Provider
Active Over 4 years ago
Authorized Information
Name RANDOLPH RANDOLPH
Position PRESIDENT
Phone (312) 878-8800
Fax (312) 448-9978
Practice Location
845 N MICHIGAN AVE
SUITE 973W
CHICAGO IL, 60611-2252, US
Phone (312) 878-8800
Fax (312) 448-9978
Business Location
845 N MICHIGAN AVE
SUITE 973W
CHICAGO IL, 60611-2252, US
Phone (312) 878-8800
Fax (312) 448-9978
Toxanomy
Taxonomy Code 103T00000X
License State
License Number
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According to our database, Revolution Training Centers Llc - No. 1 NPI is 1164766606, taxonomy code is 103T00000X Revolution Training Centers Llc - No. 1 physically located at 845 N Michigan Ave, Chicago IL, 60611-2252. NPI Number 1033115704 has the healthcare provider type.

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1164766606 NPI number is provided on an as is basis without warranty of any kind. 1164766606 is maintained by the National Plan & Provider Enumeration System. The contents of Revolution Training Centers Llc - No. 1 are for informational purposes only.