Individual
MR. RANDALL DALE HAYES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
RSA
Contact information
Practice address
1123 CEDAR ST, APT. 1-A, GLENDALE HEIGHTS, IL 60139
(630) 520-8697
(630) 909-0991
Mailing address
PO BOX 5102, GLENDALE HEIGHTS, IL 60139-5102
(630) 303-6915
(630) 909-0991
Taxonomy
Speciality
Code
Description
License number
State
246ZS0410X
Surgical Technologist
Primary
238000042
IL
Other
Enumeration date
10/17/2006
Last updated
06/11/2013
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