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Contact Information

RANDI COLEY, CADC
12942 PAGE CT
BLUE ISLAND, IL60406-2747
 Phone: 708-593-4412
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Mental Health

101YM0800X
 

Addiction (Substance Use Disorder)

101YA0400X
Indicates primary specialty

NPI Profile & details for RANDI COLEY · (Female)

NPI Number 1013283993
Status Active
Credentials CADC
Entity Individual
Enumeration date 03/26/2012
Last updated 07/10/2012 - About 14 years ago
Sole proprietor 1 No
Identifiers
  • IL License # 27660
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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