Parks, Randy S

Parks, Randy S is an sole proprietor health care provider with primary practice located at 990 Grove St Ste 510 , Evanston IL 60201-6514. He recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as his primary health care specialty. Parks, Randy S can be contacted via phone (847) 828-4826.

Contact Information

Primary practice address
990 Grove St Ste 510 Evanston IL 60201-6514
Phone: (847) 828-4826
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Mental Health 101YM0800X 180003761 Illinois

Profile Details

NPI number 1639410467
LBN Legal business name Parks, Randy S
Credentials M.A. L.C.P.C.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Mar 4th, 2013
Last updated Mar 4th, 2013 - about 13 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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