Provider Demographics
NPI:1952472003
Name:HUMAN UTILIZATION EXPERTS NETWORK, LLC
Entity Type:Organization
Organization Name:HUMAN UTILIZATION EXPERTS NETWORK, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GREGORY
Authorized Official - Middle Name:CLAYTON
Authorized Official - Last Name:RANDLE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:314-226-6290
Mailing Address - Street 1:2023 VADALABENE DR
Mailing Address - Street 2:SUITE 300
Mailing Address - City:MARYVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:62062-5630
Mailing Address - Country:US
Mailing Address - Phone:618-226-6290
Mailing Address - Fax:618-288-2077
Practice Address - Street 1:2023 VADALABENE DR
Practice Address - Street 2:SUITE 300
Practice Address - City:MARYVILLE
Practice Address - State:IL
Practice Address - Zip Code:62062-5630
Practice Address - Country:US
Practice Address - Phone:618-288-6722
Practice Address - Fax:618-288-2077
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-11-12
Last Update Date:2015-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL036085968207L00000X, 207LP2900X, 207Q00000X, 208VP0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207LP2900XAllopathic & Osteopathic PhysiciansAnesthesiologyPain MedicineGroup - Multi-Specialty
No207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain MedicineGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
E66077Medicare UPIN
ILK35107Medicare PIN