Randall S Tennis CADC

  • NPI 1174588792
According to our database, the NPI number for Randall S Tennis CADC is 1174588792 and activated since 18 years ago. Randall S Tennis CADC is an individual provider who specializes in Addiction (Substance Use Disorder), and the primary practice location is 3248 Vandever Ave, Pekin, IL 61554. You can also contact Randall S Tennis CADC via telephone number is (309) 347-5522. Provider NPI information was last updated on 07/08/2007.

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Overview of Randall S Tennis CADC

  • NPI number: 1598434045
  • Provider type: Individual
  • Gender: Male
  • Active since: 04/18/2006
  • Last updated: 07/08/2007

Primary Scrop of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 5435
  • License State: IL

Provider Mailing Address

  • Address: 3248 Vandever Ave
    Pekin, IL 61554
  • Phone: 309-347-5522
  • Fax: 309-347-4264

Provider Practice Location

  • Address: 3248 Vandever Ave
    Pekin, IL 61554
  • Phone: 309-347-5522
  • Fax: 309-347-4264

Scope of Practice

  • Taxonomy Code: 101YA0400X
  • Specialty: Addiction (Substance Use Disorder)
  • License Number: 5435
  • License State: IL
  • Switch: Yes

Question & Answers

  • Q: What is the npi number?
  • A: An NPI is a 10-digit numeric identifier. It does not carry information about you, such as the State where you practice, your provider type, or your specialization. Your NPI will not change, even if your name, address, taxonomy, or other information changes.
  • Q: What are health care provider taxonomy codes?
  • A: The Health Care Provider (HCP) Taxonomy Codes Codes define a health care service provider type, classification, and area of specialization.
  • Q: What is the npi number for Randall S Tennis CADC?
  • A: The npi number for Randall S Tennis CADC is 1174588792.
  • Q: What are Randall S Tennis CADC's specialties?
  • A: Randall S Tennis CADC's specialties are Addiction (Substance Use Disorder) and different specialities.
  • Q: What is the medical license for Randall S Tennis CADC?
  • A: The medical license number for Randall S Tennis CADC is 5435 and issued in IL in USA.
  • Q: Where is Randall S Tennis CADC practice location?
  • A: Randall S Tennis CADC is practicing at 3248 Vandever Ave, Pekin, IL 61554.
  • Q: How to contact Randall S Tennis CADC?
  • A: You can contact Randall S Tennis CADC via 309-347-5522.