Individual provider Active NPI

Randolph M McConnie, MD

  • Pediatric Gastroenterology Physician
  • Hazel Crest, IL
National Provider Identifier
1770580706
Registry record updated Aug 5, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Gastroenterology PhysicianTaxonomy code 2080P0206X
License
036-079072 Issued in IL
Practice address
17850 Kedzie Ave
3200
Hazel Crest, IL 60429-2058
Phone
(708) 798-8112
Fax
(708) 798-9016
NPI assigned
Jul 5, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 5, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X 036079072 IL
Pediatric Gastroenterology Physician 2080P0206X 036-079072 IL Primary

Addresses

Primary practice location

17850 Kedzie Ave
3200
Hazel Crest, IL 60429-2058

Mailing address

225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-4000

Other practice location 1

1201 S Main St
Crown Point, IN 46307-8481
Phone (219) 757-6000

Other practice location 2

1725 W Harrison St
Chicago, IL 60612-3841
Phone (312) 942-3034

Other practice location 3

1620 W Harrison St
Chicago, IL 60612-3801
Phone (800) 543-7362

Other practice location 4

1653 W Congress Pkwy
Chicago, IL 60612-3833
Phone (312) 942-3034

Other practice location 5

1645 W Jackson Blvd
Chicago, IL 60612-3276
Phone (312) 942-3034

Other identifiers 1

IdentifierTypeStateIssuer
036079072MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041209000992 IL Practitioner - GastroenterologyPractitioner - Pediatric Medicine 2466418553 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Pediatric Medicine
Education
Albany Medical College of Union University, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Rush University Medical GroupGroup PAC ID 5496658874, 1,521 clinicians
Lurie Children'S Medical Group Inc.Group PAC ID 4789597279, 142 clinicians

Practice addresses (Care Compare)

1700 W Van Buren St
Chicago, IL 60612-5500
Phone (312) 563-2875

225 E Chicago Ave
Chicago, IL 60611-2991
Phone (312) 227-6415

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
036-079072ILMDPediatric Gastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cook County CurrentSince Mar 1, 2015 Accepting new patients
Rush University Medical Group CurrentSince Oct 1, 2020 Accepting new patients
Rush University Medical Center Gastroenterology CurrentSince Oct 1, 2020 Accepting new patients
Cook County CurrentSince Mar 1, 2015 Accepting new patients
Cook County Current Accepting new patients

Locations

1620 W Harrison St
Chicago, IL 60612
Phone (312) 942-4200

1653 W Congress Pkwy
Chicago, IL 60612
Phone (312) 942-3138

1725 W Harrison St
Ste 710
Chicago, IL 60612
Phone (312) 942-5983

1700 W Van Buren St
#500
Chicago, IL 60612
Phone (312) 563-2875

1645 W Jackson Blvd
Chicago, IL 60612
Phone (312) 942-2200

1901 W Harrison St
Chicago, IL 60612
Phone (312) 864-5100

1645 W Jackson Blvd
Ste 200
Chicago, IL 60612
Phone (312) 492-7337

500 E 51st St
Chicago, IL 60615
Phone (312) 572-2000

75 Remittance Dr
Dept 1611
Chicago, IL 60675

1900 W Polk St
Ste 1200
Chicago, IL 60612

1201 S Main St
Crown Point, IN 46307
Phone (219) 738-2100

Interoperability endpoints

  • Direct secure messaging: rmcconnie@direct.ccprovider.org
  • Direct secure messaging: rmcconnie4297@direct.rush.rush-health.com

Organizations & group practices 6

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1785888000000",
    "number": "1770580706",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "225 E CHICAGO AVE",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606112991",
            "telephone_number": "312-227-4000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17850 KEDZIE AVE",
            "address_2": "3200",
            "city": "HAZEL CREST",
            "state": "IL",
            "postal_code": "604292058",
            "telephone_number": "708-798-8112",
            "fax_number": "708-798-9016"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 S Main St",
            "address_purpose": "LOCATION",
            "city": "Crown Point",
            "state": "IN",
            "postal_code": "463078481",
            "country_code": "US",
            "telephone_number": "219-757-6000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1725 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123841",
            "country_code": "US",
            "telephone_number": "312-942-3034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1620 W Harrison St",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123801",
            "country_code": "US",
            "telephone_number": "800-543-7362",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1653 W Congress Pkwy",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123833",
            "country_code": "US",
            "telephone_number": "312-942-3034",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1645 W Jackson Blvd",
            "address_purpose": "LOCATION",
            "city": "Chicago",
            "state": "IL",
            "postal_code": "606123276",
            "country_code": "US",
            "telephone_number": "312-942-3034",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCCONNIE",
        "first_name": "RANDOLPH",
        "middle_name": "M",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-05",
        "last_updated": "2026-08-05",
        "certification_date": "2026-08-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "IL",
            "license": "036079072",
            "primary": false
        },
        {
            "code": "2080P0206X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Gastroenterology",
            "state": "IL",
            "license": "036-079072",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036079072",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hazel Crest, IL

Sources for this page

Verify at the official NPI Registry.