Randolph Mcconnie
MD | Pediatric Gastroenterology | Male
Randolph Mcconnie, MD is a Hazel Crest, Illinois based Pediatric doctor with medical specialization in
Pediatric Gastroenterology.
Current practice location of Randolph Mcconnie is
17850 Kedzie Ave, 3200, Hazel Crest, Illinois - 60429-2058. He can be contacted on phone at
708-798-8112 and fax number 708-798-9016.
Randolph Mcconnie is a sole proprietor of his business.
NPI number (Unique professional ID) for Randolph Mcconnie is
1770580706 which was assigned by NPPES on 05 Jul, 2005 and it was last updated on 13 Aug, 2020.
Randolph Mcconnie license number is
036-079072 for Pediatrics Pediatric Gastroenterology (2080P0206X) in Illinois.
Randolph Mcconnie specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs complex diagnostic and therapeutic procedures using lighted scopes to see internal organs.
Complete Profile:
Randolph Mcconnie basic information including his official name, gender, specialization, credentials etc. are as mentioned below.
| Specialization : | Pediatrics Pediatric Gastroenterology |
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| Provider Name : | Randolph Mcconnie |
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| Credential : | MD |
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| Gender : | Male |
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Business Address:
Randolph Mcconnie address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.
| Primary Address : | 17850 Kedzie Ave, 3200
Hazel Crest, IL, 60429-2058
United States |
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| Phone Number : | 708-798-8112 |
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| Fax Number : | 708-798-9016 |
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Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.
| NPI Number : | 1770580706 |
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| NPI Entity Type : | Individual |
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| First Enrolment Date : | 05 Jul, 2005 |
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| Last Updated On : | 13 Aug, 2020 |
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Medicare Participation:
Randolph Mcconnie participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.
| Medicare PECOS ID : | 2466418553 |
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| Medicare Enrollment ID : | I20041209000992 |
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| Primary Specialty : | Gastroenterology |
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| Medical School : | Albany Medical College Of Union University |
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| Graduation Year : | 1981 |
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| Accepts Medicare? | Yes. Randolph Mcconnie accepts medicare insurance. |
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Group Practice Association:
Randolph Mcconnie is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Randolph Mcconnie is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.
| Organisation Name : | Group Practice ID | No. of Members | Practice Address | Group Accepts Medicare |
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| Rush University Medical Center | 5496658874 | 965 | 1700 W Van Buren St
Suite 500
Chicago, IL - 606125500
Ph: 3125632875 | Yes |
Licenses and Specialities:
Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Randolph Mcconnie are as mentioned. Primary taxonomy code for Randolph Mcconnie, MD is
2080P0206X (Pediatrics Pediatric Gastroenterology).
| Taxonomy Code | Speciality | Primary | License No. | State |
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| 207RG0100X | Internal Medicine Gastroenterology | No | 036079072 | IL |
| 2080P0206X | Pediatrics Pediatric Gastroenterology | Yes | 036-079072 | IL |
Legacy Identifiers:
Other legacy medical identifiers of Randolph Mcconnie such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned below.
| Identifier | Identifier Type | State | Issuer |
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| 036079072 | MEDICAID | IL | |
Mailing Address:
Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.
| Mailing Address : | Po Box 967
Tinley Park, IL, 60477-0967
United States |
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Business Location:
Patients can refer following map for directions to
Randolph Mcconnie practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 08 January, 2024.