LAURA C. RANDOLPH MD SC is a medical specialty clinic center in Bloomington, IL. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). LAURA C. RANDOLPH MD SC NPI is 1255527727. The provider is registered as an organization entity type.
The provider's business location address is:
2502 E EMPIRE ST
SUITE C
BLOOMINGTON, IL
ZIP 61704-738
Phone: (309) 664-6222
Fax: (309) 664-5006
The provider's authorized official is Rita Dempsey .
The authorized official title is Office Manager and has the following contact phone number (309) 664-6222.
The enumeration date for this NPI number is 9/19/2007 and was last updated on 9/19/2007.