Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. RANDALL SCOTT HIGHBAUGH JR., ATC
Active Sole ProprietorSports Medicine (EM) · CHANNAHON, IL
Registration Details
- NPI Number
- 1942089883
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Sep 28, 2023 (2.564786182197 yrs)
- Last Updated
- Sep 28, 2023
- License
-
096003299 (IL)
- Sole Proprietor
- Yes
Practice Information
- Address
-
26636 W IAN CTCHANNAHON, IL, 604105505Browse IL providers · Browse ZIP 60410
- Phone
- 8153474522
- Primary Specialty
-
Sports Medicine (EM)
207PS0010X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.