Individual provider · Type 1 NPI

Randi C. Ettner, PhD

Specialist · Evanston, IL

NPI number 1710038674 Active

Practice location

1214 Lake St
Evanston, IL 60201-4130

Call (847) 328-3433 Map

Fax (847) 328-5890

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000XNone listed

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1710038674

Randi C. Ettner, PhD's National Provider Identifier is 1710038674, issued on Jan 16, 2007. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Evanston, IL. The record was last updated on Jul 8, 2007.