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Contact Information

RANDI J JUENGER
6901 N GALENA RD
PEORIA, IL61614-3193
 Phone: 309-224-5052
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Gerontology

225XG0600X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for RANDI J JUENGER · (Female)

NPI # 1245991389
Status Active
Credentials
Entity Individual
Enumeration date 12/30/2021
Last updated 12/30/2021 - About 4 years ago
Sole proprietor 1 Yes
Identifiers
  • IL License # 057.003577
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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