Individual
DR. RANDY BERTRAND HEBERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
836 WEST WELLINGTON AVENUE, CHICAGO, IL 60673-2600
(773) 296-7054
(773) 296-7818
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
036.117167
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
036117167
—
IL
Enumeration date
04/12/2007
Last updated
06/27/2022
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