Randolph, Guy Robert

Randolph, Guy Robert is an individual health care provider with primary practice located at 737 N Michigan Ave Suite 900, Chicago IL 60611-6600. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatric Cardiology, which is considered as his primary health care specialty. Randolph, Guy Robert can be contacted via phone (312) 951-5800.

Contact Information

Primary practice address
737 N Michigan Ave Suite 900 Chicago IL 60611-6600
Phone: (312) 951-5800
Fax: (312) 951-5816
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatric Cardiology 2080P0202X 036100179 Illinois

Profile Details

NPI number 1982660635
LBN Legal business name Randolph, Guy Robert
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 21st, 2006
Last updated Dec 23rd, 2021 - about 5 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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Identifiers

StateTypeNumberIssuer
All States NPI 1982660635 NPPES
Illinois MEDICAID 036100179

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