Randy Carlo Alarcon

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

6840 W Touhy Ave
Niles, IL 60714-4520

Phone

(847) 647-6400

NPI assigned

Oct 3, 2020

Sex

Male

Sole proprietor

Yes

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Oct 3, 2020.

{
    "created_epoch": "1601683200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1601683200000",
    "number": "1659978633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1712 N PARK DR",
            "city": "MOUNT PROSPECT",
            "state": "IL",
            "postal_code": "600561733",
            "telephone_number": "773-490-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6840 W TOUHY AVE",
            "city": "NILES",
            "state": "IL",
            "postal_code": "607144520",
            "telephone_number": "847-647-6400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALARCON",
        "first_name": "RANDY CARLO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-10-03",
        "last_updated": "2020-10-03",
        "certification_date": "2020-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• All providers in Niles, IL
• Physical Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2020; 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.