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Randell Aaron Hendley
Student in an Organized Health Care Education/Training Program in Springfield, Illinois
NPI 1700530771

Randell Aaron Hendley is a Student in an Organized Health Care Education/Training Program based in Springfield, IL. Randell Aaron Hendley practices in Springfield, IL. The NPI Number for Randell Aaron Hendley is 1700530771 and holds a License No. (Illinois).

The current practice location address for Randell Aaron Hendley is 701 N 1St St, Springfield, IL and can be reached out via phone at 217-788-3000.

Location: 701 N 1St St, Springfield, IL, 62708-3428
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700530771
Provider Name
Randell Aaron Hendley
Credential
Provider Entity Type
Individual
Gender
Male
Address
701 N 1St St, Springfield, IL, 62708-3428
Phone Number
217-788-3000
Fax Number
Provider Enumeration Date
02/09/2022
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
041474198 01 IL RN LICENSE
institution
Provider Business Practice Location Address Details
Address
701 N 1St St
City
Springfield
State
Illinois
Zip
62781-0001
Phone Number
217-788-3000
Fax Number
person
Provider Business Mailing Address Details
Address
701 N 1St St
City
Springfield
State
Illinois
Zip
62781-0001
Phone Number
217-788-3000
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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