Organization Active NPI

F. J. Randin MD LTD

  • Internal Medicine Physician
  • Chicago, IL
National Provider Identifier
1235327172
Registry record updated Aug 12, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
Legal business name
F. J. RANDIN MD LTD
Practice address
7101 W Archer Ave
Chicago, IL 60638-2203
Phone
(773) 520-6555
Fax
(773) 586-6360
NPI assigned
Oct 4, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2008

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

Authorized official

Name
Francisco J Randin, M.D.
Title
Provider
Phone
(773) 520-6555

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207R00000X Primary

Addresses

Primary practice location

7101 W Archer Ave
Chicago, IL 60638-2203

Mailing address

250 E Pearson St Apt 3202
Chicago, IL 60611-5265
Phone (773) 520-6555

Other identifiers 2

IdentifierTypeStateIssuer
036035720MedicaidIL
0160415655OtherILBLUE CROSS BLUE SHIELD OF ILLINOIS

National Provider Directory

National Provider Directory

Locations

7101 W Archer Ave
Chicago, IL 60638
Phone (773) 520-6555

NPI Registry JSON

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

{
    "created_epoch": "1191456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1235327172",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "250 E PEARSON ST APT 3202",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606115265",
            "telephone_number": "773-520-6555",
            "fax_number": "773-586-6360"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 W ARCHER AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606382203",
            "telephone_number": "773-520-6555",
            "fax_number": "773-586-6360"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "F. J. RANDIN MD LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-04",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "RANDIN",
        "authorized_official_first_name": "FRANCISCO",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "773-520-6555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036035720",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD OF ILLINOIS",
            "identifier": "0160415655",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2008; 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.