Search › Illinois › 104100000X
Kelly Randall, LSW
NPI 1982339479 · on the registry since 2022
Practice
- Address
- 1409 W Carroll Ave
Chicago, IL 60607 - Phone
- (312) 733-0883
- Organisation at this address
- Eyas Landing, Inc.
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 192
Registry record
- Primary taxonomy
- 104100000X
104100000X
- Also registered as
- 1041S0200X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-13
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