RANDALL L MULLIN MD
NPI 1174501332
Family Medicine in Annawan, IL

Q: What is Randall Mullin's NPI number?

The NPI number for Randall Mullin is 1174501332. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Q: What is Randall Mullin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Q: When was this NPI record last updated?

The NPPES record for Randall Mullin was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since January 06, 2006

110 S DEPOT ST, ANNAWAN, IL 61234(309) 944-5124(309) 721-1407 Get Directions Write a Review

NPPES record last updated: January 15, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

On this page

About Randall L Mullin Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

RANDALL L MULLIN MD (NPI 1174501332) is an individual family medicine provider in Annawan, Illinois, licensed in Illinois (036048491) and active in the NPI registry since January 2006.

NPPES Registry Identity

NPI1174501332

Entity TypeIndividualMale

Primary Taxonomy207Q00000X

Provider Legal NameRANDALL L MULLINCredential: MD

Location Address110 S DEPOT STAnnawan, IL 61234-7768

Mailing Address110 S Depot StAnnawan, IL 61234-7768 · (309) 944-5124 · Fax (309) 721-1407

Phone(309) 944-5124

Fax(309) 721-1407

Sole ProprietorNo

Enumeration DateJanuary 6, 2006

Last NPPES UpdateJanuary 15, 2014

✔ NPI 1174501332 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians

Taxonomy Code207Q00000X

License✔ Licensed in IL · 036048491

Definition

Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

110 S DEPOT ST, Annawan, IL 61234

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Other Identifiers 5

Medicaid036048491IL

Medicare ID-Type UnspecifiedL90123IL

Medicaid1174501332IL

Medicare UPINC40121IL

Medicaid0360484912IL

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PAUL M RUDY MD

Family Medicine

110 S DEPOT ST
ANNAWAN, IL 61234

Henry County (309) 944-5124

IOWA PHYSICIANS CLINIC MEDICAL FOUNDATION

Durable Medical Equipment & Medical Supplies

110 S DEPOT ST
ANNAWAN, IL 61234

Henry County (309) 935-6778

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Randall Mullin's NPI number?

The NPI number for Randall Mullin is 1174501332. It was assigned to this individual provider in the NPPES registry on January 6, 2006.

Where is Randall Mullin located?

Randall Mullin practices at 110 S Depot St, Annawan, IL 61234. The listed phone number is (309) 944-5124.

What is Randall Mullin's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

When was this NPI record last updated?

The NPPES record for Randall Mullin was last updated on January 15, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.