Individual
DAVID PAUL RANDALL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1875 DEMPSTER ST STE 660, PARK RIDGE, IL 60068-1168
(847) 723-4088
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
036094427
IL
Other
Enumeration date
12/07/2006
Last updated
06/02/2022
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