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Contact Information

RANDALL S HIGHBAUGH JR, ATC
26636 W IAN CT
CHANNAHON, IL60410-5505
 Phone: 815-347-4522
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Sports Medicine

207PS0010X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for RANDALL S HIGHBAUGH JR · (Male)

NPI # 1942089883
Status Active
Credentials ATC
Entity Individual
Enumeration date 09/28/2023
Last updated 09/28/2023 - About 3 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 096003299
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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