IndividualActive
Randall Highbaugh, ATC
NPI 1942089883 · Sports Medicine (Emergency Medicine) Physician · Channahon, IL
Provider details
- NPI number
- 1942089883
- Entity type
- Individual
- Primary specialty
- Sports Medicine (Emergency Medicine) PhysicianAllopathic & Osteopathic Physicians
- Credential
- ATC
- Sex
- Male
- Sole proprietor
- Yes
- License
- 096003299 (IL)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
26636 W Ian Ct
Channahon, IL 60410-5505
Phone: (815) 347-4522
Approximate (ZIP-level) locationGet directions
Mailing address
26636 W Ian Ct
Channahon, IL 60410-5505
Registry dates
- Enumerated
- 2023-09-28
- Last updated
- 2023-09-28
- Certified
- 2023-09-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.