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DR. RANDI C ETTNER PHD
NPI 1710038674
Specialist in Evanston, IL

Active since January 16, 2007
1214 LAKE ST, EVANSTON, IL 60201(847) 328-3433(847) 328-5890 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Dr. Randi C Ettner Phd NPPES

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

DR. RANDI C ETTNER PHD (NPI 1710038674) is an individual specialist in Evanston, Illinois and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1710038674
Entity TypeIndividualFemale
Primary Taxonomy174400000X
Provider Legal NameDR. RANDI C ETTNERCredential: PHD
Location Address1214 LAKE STEvanston, IL 60201-4130
Mailing Address1214 Lake StEvanston, IL 60201-4130 · (847) 328-3433 · Fax (847) 328-5890
Phone(847) 328-3433
Fax(847) 328-5890
Sole ProprietorYes
Enumeration DateJanuary 16, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1710038674 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
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.
1214 LAKE ST, Evanston, IL 60201
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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 Randi Ettner's NPI number?

The NPI number for Randi Ettner is 1710038674. It was assigned to this individual provider in the NPPES registry on January 16, 2007.

Where is Randi Ettner located?

Randi Ettner practices at 1214 Lake St, Evanston, IL 60201. The listed phone number is (847) 328-3433.

What is Randi Ettner's specialty?

The primary specialty registered for this NPI is Specialist with taxonomy code 174400000X.

When was this NPI record last updated?

The NPPES record for Randi Ettner was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.