Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Blake William Randles, DC

Individual provider Gerontology Nurse Practitioner · NPI 1679886675

Dr. Blake William Randles, DC is a Gerontology Nurse Practitioner in Carlinville, Illinois. Practices as a sole proprietor and works from 3 locations. Licensed in Illinois.

Licensed in
IL
In the registry since
2010
What do these letters mean?
DC — Doctor of Chiropractic
A licensed chiropractor.

See every abbreviation used in this directory →

Practice location Address checks out

20733 N Broad St
Carlinville, IL 62626-3710
Phone: (217) 854-3141
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1210 Washington St, Highland, IL 62249-1925 — (618) 654-4520
  • 110 W Saint Louis St, Lebanon, IL 62254-1559 — (618) 654-4520

Specialties & licences

Gerontology Nurse Practitioner (primary) Taxonomy 363LG0600X · Licence 209031892 (IL)

Record details

NPI number1679886675
Entity typeIndividual (Type 1)
GenderMale
Credentials DC
Sole proprietorYes
NPI enumeratedJuly 19, 2010
Last updated in NPPESApril 7, 2025
Certification dateApril 7, 2025