Dr. Laura C Randolph, MD
Dr. Laura C Randolph, MD is a Plastic and Reconstructive Surgery in Bloomington, Illinois. Graduated from Loyola University of Chicago, Stritch School of Medicine in 1996, 30 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Illinois.
- Years since qualifying
- 30
- Trained at
- Loyola University of Chicago, Stritch School of Medicine
- Licensed in
- IL
- In the registry since
- 2006
What do these letters mean?
- MD — Doctor of Medicine
- A physician who completed allopathic medical school.
Practice location Address checks out
2502 E Empire St Ste CBloomington, IL 61704-3738
Phone: (309) 664-6222
Fax: (309) 664-5006
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Plastic Surgery Physician (primary) | Taxonomy 208200000X · Licence 36-100030 (IL) |
|---|
Record details
| NPI number | 1710906557 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | MD |
| Sole proprietor | Yes |
| NPI enumerated | July 19, 2006 |
| Last updated in NPPES | September 12, 2013 |
| Mailing address | 2502 E Empire St, Suite C, Bloomington, IL 61704-3738 |
Medicare enrollment
| Medicare specialty | PLASTIC AND RECONSTRUCTIVE SURGERY |
|---|---|
| Medical school | LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE |
| Graduated | 1996 (30 years in practice) |
| Accepts Medicare assignment | Yes — accepts the Medicare-approved amount |
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