Active NPI
Noreen Randhawa, M.D.
- Family Medicine Physician
- Chicago, IL
National Provider Identifier
1982266110
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 125.075241
- Practice address
- Swedish Hospital Part of North Shore
5145 N. California Ave.
Chicago, IL 60625 - Phone
- (773) 989-3808
- Fax
- (773) 293-5670
- NPI assigned
- Jul 9, 2019
- Reactivated
- Feb 26, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 125.075241 | IL | Primary |
Addresses
Primary practice location
Swedish Hospital Part of North Shore
5145 N. California Ave.
Chicago, IL 60625
Mailing address
Swedish Hospital Part of North Shore
5145 N. California Ave.
Chicago, IL 60625
Phone (773) 989-3808
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 125.075241 | IL | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1562630400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1628640000000",
"number": "1982266110",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "SWEDISH HOSPITAL PART OF NORTH SHORE",
"address_2": "5145 N. CALIFORNIA AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-989-3808",
"fax_number": "773-293-5670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "SWEDISH HOSPITAL PART OF NORTH SHORE",
"address_2": "5145 N. CALIFORNIA AVE.",
"city": "CHICAGO",
"state": "IL",
"postal_code": "60625",
"telephone_number": "773-989-3808",
"fax_number": "773-293-5670"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RANDHAWA",
"first_name": "NOREEN",
"name_prefix": "Miss",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-07-09",
"last_updated": "2021-08-11",
"certification_date": "2021-08-11",
"deactivation_date": "2020-02-17",
"reactivation_date": "2020-02-26",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "IL",
"license": "125.075241",
"primary": true
}
],
"identifiers": [],
"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 11, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.