Individual
DR. RANDI C ETTNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PHD
Contact information
Practice address
1214 LAKE ST, EVANSTON, IL 60201-4130
(847) 328-3433
(847) 328-5890
Mailing address
1214 LAKE ST, EVANSTON, IL 60201-4130
(847) 328-3433
(847) 328-5890
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
01/16/2007
Last updated
07/08/2007
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