Active NPI
Randolph M McConnie, MD
- Pediatric Gastroenterology Physician
- Hazel Crest, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Gastroenterology Physician
- License
- 036-079072
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 036079072 | Medicaid | IL |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Gastroenterology
- 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 036-079072 | IL | MD | Pediatric Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cook County | Current | Accepting new patients | |
| Rush University Medical Group | Current | Accepting new patients | |
| Rush University Medical Center | Gastroenterology | Current | Accepting new patients |
| Cook County | Current | 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
- rmcconnie@direct.ccprovider.org
- 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.
-
- Internal Medicine Physician
- Chicago, IL
- NPI 1093819542
-
- Pediatrics Physician
- Chicago, IL
- NPI 1518064716
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1588612832
-
- Emergency Medicine Physician
- Chicago, IL
- NPI 1821385170
-
- Multi-Specialty Clinic/Center
- Chicago, IL
- NPI 1831219450
-
- Internal Medicine Physician
- Oak Brook, IL
- NPI 1801375696
Gastroenterology
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Children's Hospital
- Chicago, IL
- NPI 1801908728
-
- General Acute Care Hospital
- Chicago, IL
- NPI 1932213600
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.