NPI 1841586518

Angela Randle

Practitioner Driver Romeoville, IL

Practice location

Address: 415 Walden CT, Romeoville, IL 60446-1078
Phone: (773) 954-5440

Registered specialties

Driver Primary

Other Service Providers Taxonomy 172A00000X Licence 172A0000X (IL)

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Registry record

NPI: 1841586518
Entity type: Individual
Sex (as registered): Female
NPI issued: 21 Jun 2011
Record last updated: 21 Jun 2011

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.