Search › Illinois › 152W00000X
Randall Kittle, OD
NPI 1871763839 · on the registry since 2008
Practice
- Address
- 4940 E State St
Ste 2
Rockford, IL 61108 - Phone
- (815) 397-5959
- Clinicians at this address
- 15
Registry record
- Primary taxonomy
- 152W00000X
152W00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-03-06
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