Robert L Randall, PH,D.

Primary specialty

PsychologistTaxonomy code 103T00000X

Practice address

125 W Church St
Elmhurst, IL 60126-3326

Phone

(630) 530-6009

Fax

(630) 530-6007

NPI assigned

Sep 14, 2005

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: No
• Medical equipment: Yes
• Home health: No
• Power mobility devices: No
• Hospice: No

Green means eligible to order or refer.

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1126656000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1467447581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HARBOR TER",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263336",
            "telephone_number": "630-279-1238"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 W CHURCH ST",
            "city": "ELMHURST",
            "state": "IL",
            "postal_code": "601263326",
            "telephone_number": "630-530-6009",
            "fax_number": "630-530-6007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RANDALL",
        "first_name": "ROBERT",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "PH,D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103T00000X",
            "taxonomy_group": "",
            "desc": "Psychologist",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kiran Chandrakant Rajmane, MD
• Rama R Dandamudi MD SC
• Amanda M Ramirez, LMT
• Kirsten Emmanuelle Ramos
• Mary Jane Ramos, NP-C
• Ahmad O Raslan, MD
• Tayyiba Rasool
• Logan Rattana
• Souphone Pone Rattana, RPH
• Nicholas Rauh, MD

• Psychologist in Elmhurst, IL
• Providers in Elmhurst, IL by specialty
• Psychologist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.