JODI RANDLE NPI 1588134340

NPI Information

NPI: 1588134340
Provider Name: JODI RANDLE
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
737 W CORNELIA AVE UNIT G
CHICAGO, IL
ZIP 60657
Phone: (773) 818-5875
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Jodi Randle is a professional counselor in Chicago, IL. Jodi Randle NPI is 1588134340. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

737 W CORNELIA AVE UNIT G
CHICAGO, IL
ZIP 60657-459
Phone: (773) 818-5875

The enumeration date for this NPI number is 12/4/2018 and was last updated on 12/4/2018.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YA0400X	Counselor	Addiction (Substance Use Disorder)	33845	ILLINOIS	No
2	101YP2500X	Counselor	Professional	178.013030	ILLINOIS	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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