Individual
CHRISTOPHER RANDOLPH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PHD
Contact information
Practice address
211 W CHICAGO AVE, STE 211, HINSDALE, IL 60521-3355
(708) 216-2662
(708) 216-5617
Mailing address
211 W CHICAGO AVE, STE 211, HINSDALE, IL 60521-3355
(708) 216-2662
(708) 216-5617
Taxonomy
Speciality
Code
Description
License number
State
103G00000X
Clinical Neuropsychologist
Primary
71004821
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
71004821
—
IL
Enumeration date
01/17/2006
Last updated
03/04/2010
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