Avis Randle, MS

Case Manager/Care Coordinator · Chicago, IL

Individual Active NPI

NPI number 1407301336

Practice location

259 E 115TH St
Chicago, IL 60628-5014
Phone
(313) 585-6084

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NPI record

NPI
1407301336
Entity type
Individual (Type 1)
Enumeration date
August 21, 2016
Last updated
May 27, 2025
Certified
May 27, 2025
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Case Manager/Care Coordinator Primary 171M00000X — —
Other Technician 247200000X — —

About Avis Randle

Avis Randle, MS is a healthcare provider registered in the NPI registry with the primary taxonomy Case Manager/Care Coordinator (code 171M00000X). The practice location is 259 E 115TH St, Chicago, IL 60628-5014. The NPI number 1407301336 was assigned on August 21, 2016 and the record was last updated on May 27, 2025.

Frequently asked questions

What is the NPI number of Avis Randle, MS?

The NPI number is 1407301336.

What is the phone number of Avis Randle?

The phone number listed for the practice location is (313) 585-6084.

Where is Avis Randle located?

259 E 115TH St, Chicago, IL 60628-5014.

What is the taxonomy code for Avis Randle?

The primary taxonomy code is 171M00000X – Case Manager/Care Coordinator; 1 more listed above.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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