DR. Blake William Randles, D.C.
NPI #1679886675 in Carlinville, Illinois
Provider Information
- NPI Number
- 1679886675
- Entity Type
- Individual
- Name
- DR. Blake William Randles, D.C.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Nurse Practitioner - Gerontology
- Credential
- D.C.
- Enumeration Date
- Jul 19, 2010
- Last Updated
- Apr 7, 2025
Practice Location
- Address
- 20733 N BROAD ST
- City
- Carlinville
- State
- Illinois
- ZIP Code
- 62626-3710
- Phone
- (217) 854-3141
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Gerontology — Gerontology |
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