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

Individual provider Specialist · NPI 1710038674

Dr. Randi C Ettner, PHD is a Specialist in Evanston, Illinois. Practices as a sole proprietor. Registered with an NPI since 2007.

In the registry since
2007
What do these letters mean?
PHD — Doctor of Philosophy
A research doctorate. In healthcare it usually sits alongside a clinical licence.

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Practice location Address checks out

1214 Lake St
Evanston, IL 60201-4130
Phone: (847) 328-3433
Fax: (847) 328-5890
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Specialist (primary) Taxonomy 174400000X

Record details

NPI number1710038674
Entity typeIndividual (Type 1)
GenderFemale
Credentials PHD
Sole proprietorYes
NPI enumeratedJanuary 16, 2007
Last updated in NPPESJuly 8, 2007
Mailing address1214 Lake St, Evanston, IL 60201-4130

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