Individual
DR. KAREN M RANDALL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PH.D.
Contact information
Practice address
30 N MICHIGAN AVE, SUITE 1316, CHICAGO, IL 60602-3402
(312) 251-0755
Mailing address
30 N MICHIGAN AVE, SUITE 1316, CHICAGO, IL 60602-3402
(312) 251-0755
Taxonomy
Speciality
Code
Description
License number
State
103TC0700X
Clinical Psychologist
Primary
0710004018
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01673426
BLUE CROSS OF IL PROVIDER
IL
Enumeration date
03/27/2007
Last updated
07/08/2007
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