Individual
CHAD RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
651 S ROUTE 59, AURORA, IL 60504-8169
(630) 547-8000
(630) 547-8001
Mailing address
PO BOX 713260, CHICAGO, IL 60677-1260
(630) 469-9200
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
070-007949
IL
Other
Enumeration date
12/29/2005
Last updated
06/22/2023
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