Randolph Mcconnie in Hazel Crest - Pediatric Gastroenterology
Randolph Mcconnie - NPI 1770580706
Randolph Mcconnie is a Pediatric Gastroenterology in Hazel Crest, Illinois. Randolph Mcconnie practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Randolph Mcconnie is 1770580706. The last update date is 2020-08-13.
Randolph Mcconnie's current location address is 17850 Kedzie Ave, Hazel Crest, Illinois. You can contact this provider via phone number 7087988112 and fax number 7087989016. The mailing address for Randolph Mcconnie is 17850 Kedzie Ave, Hazel Crest, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Randolph Mcconnie |
|---|---|
| Address | 17850 Kedzie Ave, Hazel Crest, Illinois |
| Phone Number | 7087988112 |
| Fax Number | 7087989016 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1770580706 |
|---|---|
| Provider Enumeration Date | 2005-07-05 |
| Last Updated Date | 2020-08-13 |
Provider Mailing Address Detail
| Address | 17850 Kedzie Ave |
|---|---|
| City | Hazel Crest |
| State | Illinois (IL) |
| Post Code | 6042920580 |
| Phone Number | 7087988112 |
| Fax Number | 7087989016 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Gastroenterology |
|---|---|
| Taxonomy | 2080P0206X |
| Licence No | 036-079072 |
|
Definition: A pediatrician who 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 comp |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36079072 | IL | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Randolph Mcconnie?
The Randolph Mcconnie has been issued the NPI (National Provider Identifier) 1770580706 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Randolph Mcconnie?
The Randolph Mcconnie is physically situated at 17850 Kedzie Ave, in the city of Hazel Crest, state of IL, with the postal code 6042920580.
What is Randolph Mcconnie's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Randolph Mcconnie is Pediatric Gastroenterology, and the taxonomy classification code that categorizes this area of expertise is 2080P0206X.
When did the Randolph Mcconnie receive its 1770580706?
The Randolph Mcconnie was issued its 1770580706 on 2005-07-05, which is the date when the organization was assigned this unique identifier.
When was the Randolph Mcconnie's information last updated?
The Randolph Mcconnie's information was last updated on 2020-08-13.
NPI Number: 1407858566
Address: 604 N Acadia Rd, Thibodaux, LA