Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1710038674 Individual Practitioner Female Practitioner

Dr. Randi C Ettner , PhD

Specialist • Evanston, IL

Professional Overview & Biography Verified Profile Summary

Dr. Randi Ettner, PhD is a registered healthcare professional specializing in Specialist in Evanston, IL. Practice services are available at 1214 LAKE ST under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1214 Lake St

Evanston, IL 602014130

Telephone 8473283433
Fax 8473285890

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Evanston, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 43.0 Yrs
State Avg: 38.5 Yrs
Regional Practice Density
39 Specialists

Practicing in Evanston, IL (1322 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

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.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

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Updated Practice Location July 08, 2007

Registered at 1214 LAKE ST, EVANSTON, IL 602014130 (Tel: 8473283433)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1214 LAKE ST, EVANSTON, IL 602014130 (Tel: 8473283433)

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Provider Name / Credentials Updated July 08, 2007

Recorded as RANDI ETTNER, PHD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist

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Initial NPI Registration & Enumeration January 16, 2007

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1710038674
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 16, 2007
Last Update: July 08, 2007
Sole Proprietor: Yes

Mailing Address

1214 Lake St

Evanston, IL 602014130

Phone: 8473283433

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.