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Individual

MS. RANDI Y BARBON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN, CDE

Contact information

Practice address
360 STATION DR, 3RD FLOOR, CRYSTAL LAKE, IL 60014-7978
(815) 356-2383
(815) 356-2385
Mailing address
13707 W JACKSON ST, WOODSTOCK, IL 60098-3188
(815) 337-1871
(815) 338-6297

Taxonomy

Speciality
Code
Description
License number
State
163WD0400X
Diabetes Educator Registered Nurse
Primary
041249777
IL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
041249777
PROFESSIONAL LICENSE NUMBER
IL
Enumeration date
11/23/2009
Last updated
11/23/2009
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