Individual
DR. RANDY CHARLES RABIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
5400 N MILWAUKEE AVE, CHICAGO, IL 60630
(773) 384-0505
Mailing address
5400 N MILWAUKEE AVE, CHICAGO, IL 60630
(773) 384-0505
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
019-021944
IL
1223G0001X
General Practice Dentistry
019021944
IL
Other
Enumeration date
12/28/2006
Last updated
04/28/2021
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