SearchIllinois376K00000X

Shawnice Randle

NPI 1295128122 · on the registry since 2015 · sole proprietor

Practice

Address
322 Sauganash St
Park Forest, IL 60466
Phone
(708) 262-3798

Registry record

Primary taxonomy
376K00000X
376K00000X
Also registered as
372600000X
374U00000X
376J00000X
Sex
Female
Record last updated
2015-03-17

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois