Randall Earl Williams, MD

Primary specialty

Cardiovascular Disease PhysicianTaxonomy code 207RC0000X

License

036091021 Issued in IL

Practice address

27750 W Highway 22
Suite 240
Barrington, IL 60010-2379

Phone

(847) 829-1600

NPI assigned

May 17, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Endeavor Health Medical Group

  • Anesthesiology Physician
  • Evanston, IL
  • NPI 1265695944
  NPD (past)
• Midwest Heart Specialists, LTD

  • Cardiovascular Disease Physician
  • Downers Grove, IL
  • NPI 1417908765
  NPD (past)

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

{
    "created_epoch": "1147824000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216339200000",
    "number": "1720030646",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 S HIGHLAND AVE",
            "address_2": "SUITE B202 ATTN JAN LEWIS",
            "city": "LOMBARD",
            "state": "IL",
            "postal_code": "601486153",
            "telephone_number": "630-268-1102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "27750 W HIGHWAY 22",
            "address_2": "SUITE 240",
            "city": "BARRINGTON",
            "state": "IL",
            "postal_code": "600102379",
            "telephone_number": "847-829-1600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WILLIAMS",
        "first_name": "RANDALL",
        "middle_name": "EARL",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-17",
        "last_updated": "2008-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "IL",
            "license": "036091021",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036091021",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00166673",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Aa Wieneke, M.S
• Michael David Wiener, RPH
• Lora J Wiens, PSY.D.
• James A Wilcox, D.O.
• Tina Wilken
• Willow Tree Counseling Services, PLLC
• Brittany Wilson, LCPC
• Paulina Wisniewska, DMD
• Joyce K. Wisniewski, LCSW
• Robert C. Witkowski, M.D.

• Cardiovascular Disease Physician in Barrington, IL
• Providers in Barrington, IL by specialty
• Cardiovascular Disease Physician in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.