Individual
RANDY SCOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
RN
Contact information
Practice address
41W400 SILVER GLEN RD, ST CHARLES, IL 60175-8453
(844) 242-7956
Mailing address
47 51ST AVE, BELLWOOD, IL 60104-1028
(708) 289-9550
Taxonomy
Speciality
Code
Description
License number
State
163WA0400X
Addiction (Substance Use Disorder) Registered Nurse
Primary
041.534883
IL
Other
Enumeration date
12/14/2023
Last updated
12/14/2023
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