Randy Zimmerman M.D.,P.C.

Primary specialty

Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X

Legal business name

RANDY ZIMMERMAN M.D.,P.C.

Practice address

27750 W Highway 22
Suite 120
Barrington, IL 60010-2379

Phone

(847) 277-0500

Fax

(847) 277-0505

NPI assigned

Aug 13, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Randy R Zimmerman, M.D.

Title

President

Phone

(847) 277-0500

Specialties & licenses 3

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1186963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196035200000",
    "number": "1154513356",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "27750 W HIGHWAY 22",
            "address_2": "SUITE 120",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102379",
            "telephone_number": "847-277-0500",
            "fax_number": "847-277-0505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27750 W HIGHWAY 22",
            "address_2": "SUITE 120",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102379",
            "telephone_number": "847-277-0500",
            "fax_number": "847-277-0505"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RANDY ZIMMERMAN M.D.,P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-13",
        "last_updated": "2007-11-26",
        "status": "A",
        "authorized_official_last_name": "ZIMMERMAN",
        "authorized_official_first_name": "RANDY",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-277-0500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology",
            "state": "IL",
            "license": null,
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": null,
            "primary": false
        },
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "IL",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "04921797",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rebecca Ashley Purse, LSW
• Jalaja Puthuvalil
• Jennifer Quintas, MAT, LAT, ATC
• Africa Latress Rainey, LCPC
• Diane L. Randall, PSY.D.
• Rosio Eloisa Rangel, LCSW
• Kimberly Ann Rapach, LCSW
• Brittany E Rasky, LCSW
• Anna T. Razes, LCSW
• RCS Healthcare LTD.

• All providers in Barrington, IL
• Obstetrics & Gynecology Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.