Individual
MR. RANDALL SCOTT HIGHBAUGH JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
26636 W IAN CT, CHANNAHON, IL 60410-5505
(815) 347-4522
Mailing address
26636 W IAN CT, CHANNAHON, IL 60410-5505
(815) 347-4522
Taxonomy
Speciality
Code
Description
License number
State
207PS0010X
Sports Medicine (Emergency Medicine) Physician
Primary
096003299
IL
Other
Enumeration date
09/28/2023
Last updated
09/28/2023
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