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Randall S Tennis

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NPI Number Detailed Information

Provider Information:

Name: Randall S Tennis
Gender: M
Provider License Number If Given: 5435

NPI Information:

NPI: 1174588792
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 4/18/2006

Last Update Date: 7/8/2007

Provider Business Mailing Address:

Address: 3248 VANDEVER AVE
Pekin, IL 61554
Phone Number: 3093475522
Fax Number: 3093474264

Provider Business Practice Location Address:

Address: 3248 VANDEVER AVE
Pekin, IL 61554
Phone Number: 3093475522
Fax Number: 3093474264

Provider Taxonomy:

Primary: 101YA0400X
Secondary (if any):
State: IL

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About Randall S Tennis

Randall S Tennis ( RANDALL S TENNIS ) is Definition Counselor Physician in Pekin, IL. The NPI Number for Randall S Tennis is 1174588792.
The current location address for Randall S Tennis is 3248 VANDEVER AVE Pekin, IL 61554 and the contact number is 3093475522 and fax number is 3093474264. The mailing address for Randall S Tennis is 3248 VANDEVER AVE Pekin, IL 61554- 3093475522 (mailing address contact number - 3093475522).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Randall S Tennis ?


Answer: The NPI Number for Randall S Tennis is 1174588792

Where is Randall S Tennis located?


Answer: Randall S Tennis is located at 3248 VANDEVER AVE Pekin, IL 61554.

What is the specialty for Randall S Tennis ?


Answer: The Specialty of Randall S Tennis is Definition Counselor Physician.

Are there any online reviews for Randall S Tennis ?


Answer: Not yet!

Are there any other health care providers in Pekin, IL?


Answer: Yes, there are given below...

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Randall S Tennis in Other Directories

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