Individual
MR. RANDY HENKELS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
300 E COLLEGE AVE, EUREKA, IL 61530-1562
(309) 467-6378
Mailing address
1905 CRESTMOOR COVE CC CT, NORMAL, IL 61761-5352
(309) 467-6378
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
96001189
IL
Other
Enumeration date
03/14/2006
Last updated
07/13/2026
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