Provider Demographics
NPI:1790560456
Name:KARLINSKY, RANDI (MS, LDN, RDN, CPT)
Entity Type:Individual
Prefix:
First Name:RANDI
Middle Name:
Last Name:KARLINSKY
Suffix:
Gender:F
Credentials:MS, LDN, RDN, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:480 WESTGATE RD
Mailing Address - Street 2:
Mailing Address - City:DEERFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:60015-3331
Mailing Address - Country:US
Mailing Address - Phone:847-370-6583
Mailing Address - Fax:
Practice Address - Street 1:227 E PARK AVE STE 101
Practice Address - Street 2:
Practice Address - City:LIBERTYVILLE
Practice Address - State:IL
Practice Address - Zip Code:60048-2841
Practice Address - Country:US
Practice Address - Phone:847-370-6583
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-08-30
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL164006304133V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, Registered