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AVIS RANDLE MS
NPI 1407301336
Case Manager/Care Coordinator in Chicago, IL

Active since August 21, 2016
259 E 115TH ST, CHICAGO, IL 60628(313) 585-6084 Get Directions Write a Review

NPPES record last updated: May 27, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: May 27, 2025, Aug 21, 2016 (2 updates tracked since 2016).

About Avis Randle Ms NPPES

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

AVIS RANDLE MS (NPI 1407301336) is an individual case manager/care coordinator provider in Chicago, Illinois and active in the NPI registry since August 2016.

NPPES Registry Identity

NPI1407301336
Entity TypeIndividualFemale
Primary Taxonomy171M00000X
Provider Legal NameAVIS RANDLECredential: MS
Location Address259 E 115TH STChicago, IL 60628-5014
Mailing Address259 E 115th StChicago, IL 60628-5014 · (313) 585-6084
Phone(313) 585-6084
Sole ProprietorNo
Enumeration DateAugust 21, 2016
Last NPPES UpdateMay 27, 20252 updates tracked since enumeration
NPPES CertifiedMay 27, 2025
✔ NPI 1407301336 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCase Manager/Care CoordinatorOther Service Providers
Taxonomy Code171M00000X
Definition
A person who provides case management services and assists an individual in gaining access to needed medical, social, educational, and/or other services. The person has the ability to provide an assessment and review of completed plan of care on a periodic basis. This person is also able to take collaborative action to coordinate the services with other providers and monitor the enrollee's progress toward the cost-effective achievement of objectives specified in the plan of care. Credentials may vary from an experience in the fields of psychology, social work, rehabilitation, nursing or a closely related human service field, to a related Assoc of Arts Degree or to nursing credentials. Some states may require certification in case management.
Also ListedTechnician, OtherTaxonomy 247200000X
259 E 115TH ST, Chicago, IL 60628
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Other Providers at the Same Location NPPES 20

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

GRO COMMUNITY
Clinic/Center (Adolescent and Children Mental Health)
259 E 115TH ST
CHICAGO, IL 60628
Cook County (618) 203-4368
KENNETH TRIMUEL
Social Worker
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
JERRELL EVANS
Counselor
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
MRS. KRYSTAL M FOWLER LCPC; LPC
Counselor (Mental Health)
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 253-8385
MR. CHARLES ALVIN PHILLIPS JR.
Social Worker
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 339-7394
CHARDAE GILES
Case Manager/Care Coordinator
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100
TRACY STEPHEN
Social Worker (Clinical)
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 253-8385
RAQUEAL PULLUMS
Social Worker
259 E 115TH ST
CHICAGO, IL 60628
Cook County (773) 493-4100

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 Avis Randle's NPI number?

The NPI number for Avis Randle is 1407301336. It was assigned to this individual provider in the NPPES registry on August 21, 2016.

Where is Avis Randle located?

Avis Randle practices at 259 E 115th St, Chicago, IL 60628. The listed phone number is (313) 585-6084.

What is Avis Randle's specialty?

The primary specialty registered for this NPI is Case Manager/Care Coordinator with taxonomy code 171M00000X.

When was this NPI record last updated?

The NPPES record for Avis Randle was last updated on May 27, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.