Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Blake William Randles, DC

Individual provider Gerontology Nurse Practitioner · NPI 1679886675

Dr. Blake William Randles, DC is a Gerontology Nurse Practitioner in Carlinville, Illinois. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

20733 N Broad St
Carlinville, IL 62626-3710
Phone: (217) 854-3141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1210 Washington St, Highland, IL 62249-1925 — (618) 654-4520
  • 110 W Saint Louis St, Lebanon, IL 62254-1559 — (618) 654-4520

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209031892 (IL)

Record details

NPI number1679886675
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJuly 19, 2010
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025
Mailing address1210 Washington St, Highland, IL 62249-1925