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Contact Information

RANDOLPH MCCONNIE, MD
17850 KEDZIE AVE
3200
HAZEL CREST, IL60429-2058
 Phone: 708-798-8112
 Fax: 708-798-9016
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Pediatric Gastroenterology

2080P0206X 37 Physician/Pediatric Medicine
 

Gastroenterology

207RG0100X 10 Physician/Gastroenterology
Indicates primary specialty

NPI Profile & details for RANDOLPH MCCONNIE · (Male)

NPI Number 1770580706
Status Active
Credentials MD
Entity Individual
Enumeration date 07/05/2005
Last updated 11/19/2025 - About 7 months ago
Sole proprietor 1 No
Identifiers
  • IL License # 036-079072
  • IL License # 036079072
  • IL Medicaid 036079072
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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