Organization
2102 RANDOLPH VANDALIA PROFESSIONAL, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PAM DRAPER (VP OF OPERATIONS)
(602) 391-4086
Entity
Organization
Contact information
Practice address
2102 W RANDOLPH ST, VANDALIA, IL 62471-1973
(618) 283-4900
Mailing address
2102 W RANDOLPH ST, VANDALIA, IL 62471-1973
(618) 283-4900
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
—
—
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us