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Individual

RANDY R ISAACS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1000 HEALTH CENTER DR, MATTOON, IL 61938-4644
(217) 238-4325
(217) 348-4290
Mailing address
PO BOX 372, MATTOON, IL 61938-0372
(217) 258-2581

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
036092462
IL
208000000X
Pediatrics Physician
Primary
70133-20
WI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1851385462
WI
Enumeration date
09/09/2005
Last updated
12/15/2025
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