Individual
DR. JEROME R RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
231 MAIN ST, PARK FOREST, IL 60466-2097
(708) 748-3338
(708) 748-4332
Mailing address
231 MAIN ST, PARK FOREST, IL 60466-2097
(708) 748-3338
(708) 748-4332
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
016-005113
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
016005113
—
IL
Enumeration date
01/29/2007
Last updated
07/05/2025
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