Randle, Avis

Randle, Avis is an individual health care provider with primary practice located at 259 E 115Th St , Chicago IL 60628-5014. She recently has 2 registered licenses in different health care specialties including Technologists, Technicians & Other Technical Service Providers / Technician, Other, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Randle, Avis can be contacted via phone (313) 585-6084.

Contact Information

Primary practice address
259 E 115Th St Chicago IL 60628-5014
Phone: (313) 585-6084
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Technologists, Technicians & Other Technical Service Providers / Technician, Other 247200000X
Other Service Providers / Case Manager/Care Coordinator 171M00000X

Profile Details

NPI number 1407301336
LBN Legal business name Randle, Avis
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 21st, 2016
Last updated May 27th, 2025 - about last year

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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