Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.
MR. RANDY HENKELS ATC
NPI 1003885070
Specialist in Eureka, IL
Active since March 14, 2006
About Mr. Randy Henkels Atc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
MR. RANDY HENKELS ATC (NPI 1003885070) is an individual specialist in Eureka, Illinois, licensed in Illinois (96001189) and active in the NPI registry since March 2006.
NPPES Registry Identity
NPI1003885070
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameMR. RANDY HENKELSCredential: ATC
Location Address300 E COLLEGE AVEEureka, IL 61530-1562
Mailing Address1905 Crestmoor Cove Cc CtNormal, IL 61761-5352 · (309) 467-6378
Phone(309) 467-6378
Sole ProprietorNo
Enumeration DateMarch 14, 2006
Last NPPES UpdateJuly 13, 2026
✔ NPI 1003885070 is a valid, active identifier and passes the ISO check-digit test.
Specialties & Licenses
★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License✔ Licensed in IL · 96001189
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
300 E COLLEGE AVE, Eureka, IL 61530
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1003885070, enumerated as an "individual" on March 14, 2006.
The provider is located at 300 E COLLEGE AVE EUREKA, IL 61530 and the phone number is (309) 467-6378.
Specialist with taxonomy code 174400000X.
