Individual
MRS. ERIN MICHELLE RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS,
Contact information
Practice address
212 LINDOW LN STE M, MARENGO, IL 60152-9480
(815) 568-6511
Mailing address
921 VILLAGE CT, MARENGO, IL 60152-3638
(815) 572-5001
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
IL
Other
Enumeration date
03/09/2006
Last updated
09/11/2007
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