Randi C. Ettner, PHD
Specialist · Evanston, IL
NPI number
1710038674
Practice location
1214 Lake StEvanston, IL 60201-4130
- Phone
- (847) 328-3433
- Fax
- (847) 328-5890
NPI record
- NPI
- 1710038674
- Entity type
- Individual (Type 1)
- Enumeration date
- January 16, 2007
- Last updated
- July 8, 2007
- Sole proprietor
- Yes
Specialties & taxonomy codes
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X |
— | — |
About Dr. Ettner
Randi C. Ettner, PHD is a healthcare provider registered in the NPI registry with the primary taxonomy Specialist (code 174400000X). The practice location is 1214 Lake St, Evanston, IL 60201-4130. The NPI number 1710038674 was assigned on January 16, 2007 and the record was last updated on July 8, 2007.
Frequently asked questions
What is the NPI number of Randi C. Ettner, PHD?
The NPI number is 1710038674.
What is the phone number of Dr. Ettner?
The phone number listed for the practice location is (847) 328-3433.
Where is Dr. Ettner located?
1214 Lake St, Evanston, IL 60201-4130.
What is the taxonomy code for Dr. Ettner?
The primary taxonomy code is 174400000X – Specialist.
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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