Michael Christopher Randolph

Behavior Technician · Lake Bluff, IL

Individual Active NPI

NPI number 1922752153

Practice location

917 Sherwood Dr Ste 201
Lake Bluff, IL 60044-2235
Phone
(855) 318-6404

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NPI record

NPI
1922752153
Entity type
Individual (Type 1)
Enumeration date
February 7, 2022
Last updated
February 7, 2022
Certified
February 7, 2022
Sole proprietor
No

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Behavior Technician Primary 106S00000X — IL

Mailing address

950 Lee St Ste 210
Des Plaines, IL 60016-6574

About Michael Randolph

Michael Christopher Randolph is a healthcare provider registered in the NPI registry with the primary taxonomy Behavior Technician (code 106S00000X). The practice location is 917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2235. The NPI number 1922752153 was assigned on February 7, 2022 and the record was last updated on February 7, 2022.

Frequently asked questions

What is the NPI number of Michael Christopher Randolph?

The NPI number is 1922752153.

What is the phone number of Michael Randolph?

The phone number listed for the practice location is (855) 318-6404.

Where is Michael Randolph located?

917 Sherwood Dr Ste 201, Lake Bluff, IL 60044-2235.

What is the taxonomy code for Michael Randolph?

The primary taxonomy code is 106S00000X – Behavior Technician.

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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