RANDALL MEDICAL IMAGING CENTER, LLC (NPI# 1255418877) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255418877 |
| Entity Type | Organization |
| Organization Name | RANDALL MEDICAL IMAGING CENTER, LLC |
| Practice Address |
1710 N Randall Rd Suite 180 Elgin IL 60123-9400 |
| Practice Telephone | 8479306990 |
| Practice Fax Number | 8479306991 |
| Mailing Telephone | 8479306990 |
| Mailing Fax Number | 8479306991 |
| Enumeration Date | 2006-11-01 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. RICHARD H KIM (DIRECTOR) |
| Authorized Official Telephone | 8479306990 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0200X |
Clinic/Center Specialization: Radiology |
Ambulatory Health Care Facilities |
| Street Address |
1710 N RANDALL RD SUITE 180 |
| City | ELGIN |
| State | IL |
| Zip Code | 60123-9400 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851398218 | Gulzar Fidai | Internal Medicine | 1710 N Randall Rd, 380, Elgin, IL 60123-4902 | 2005-06-30 |
| 1992285613 | Chul Jong David Kim | Physical Therapist | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2018-08-21 |
| 1992234306 | Lorin Gene Brody | Nurse Practitioner | 1710 N Randall Rd, 160, Elgin, IL 60123 | 2017-06-08 |
| 1275075061 | Specialists In Gastroenterology | Nurse Practitioner | 1710 N Randall Rd, Suite 280, Elgin, IL 60123-9400 | 2016-11-09 |
| 1821549064 | Amanda Robinson | Physician Assistant | 1710 N Randall Rd, 160, Elgin, IL 60123-9400 | 2016-10-24 |
| 1710330154 | Jordan Altieri | Physical Therapy Assistant | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2016-07-21 |
| 1902263486 | Lisa Gallagher | Counselor | 1710 N Randall Rd, Elgin, IL 60123-9400 | 2016-01-28 |
| 1669888558 | Jennifer Chang | Physician Assistant | 1710 N Randall Rd, Suite #160, Elgin, IL 60123-9400 | 2014-07-11 |
| 1619305034 | Alicia Joanna Van Slee | Physician Assistant | 1710 N Randall Rd, Suite 160, Elgin, IL 60123-9400 | 2013-10-22 |
| 1760829667 | Kazmer Foot and Ankle Centers, Ltd | Podiatrist | 1710 N Randall Rd, Suite 140, Elgin, IL 60123-9400 | 2013-05-31 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629625736 | Edna Lopez | Social Worker | 1140 N. Mclean Blvd #1, Elgin, IL 60123 | 2019-08-22 |
| 1003472259 | Katelyn Lee O'connell | Counselor | 695 S. Sate Street, Elgin, IL 60123 | 2019-05-14 |
| 1598235152 | Katie Elizabeth Dwyer | Counselor | 695 S. State Street, Elgin, IL 60123 | 2018-11-27 |
| 1174002778 | James M Accetta | Counselor | 52 Surry Drive, Elgin, IL 60123 | 2018-08-14 |
| 1770086175 | Griswold Home Care | Adult Companion | 707 A Davis Road, Suite 203, Elgin, IL 60123 | 2018-03-12 |
| 1003315706 | Danielle Bryant | Nurse Practitioner | 745 Fletcher Dr Ste 101, Elgin, IL 60123 | 2018-02-08 |
| 1912421470 | Deborah Foshager | Counselor | 680 Shenandoah Trail, Elgin, IL 60123 | 2017-07-26 |
| 1760903470 | Miguel Camargo | Specialist/Technologist | 12 N Aldine St, Elgin, IL 60123 | 2017-07-03 |
| 1134658594 | David Sommer | Counselor | 1460 Umbdenstock Rd, Elgin, IL 60123 | 2017-06-08 |
| 1649719618 | Faheem Unisa Syed | Clinical Nurse Specialist | 1990 Larkin Ave., Elgin, IL 60123 | 2017-02-23 |
| Find all providers in zip 60123 | ||||
| Taxonomy Code | 261QR0200X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Radiology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871581199 | Regional Diagnostics, LLC | Clinic/Center | 373 Summit St, Elgin, IL 60120-3733 | 2005-10-11 |
| 1215077599 | Orthopedic & Spine Surgery Assoc. | Clinic/Center | 2350 Royal Blvd, 800, Elgin, IL 60123-4719 | 2007-02-07 |
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| 1992349724 | Home Diagnostics Plus LLC | Clinic/Center | 2154 W Rosemont Ave Ste 2f, Chicago, IL 60659-3226 | 2019-11-05 |
| 1639731839 | United Providers Inc | Clinic/Center | 9325 S Thomas Ave, Bridgeview, IL 60455-2163 | 2019-07-08 |
| 1861957144 | Rsr Medical | Clinic/Center | 1509 N Western Ave Unit 404, Chicago, IL 60622-1747 | 2019-01-31 |
| 1013429125 | Diagnostic Services LLC | Clinic/Center | 16101 Weber Rd Unit A, Crest Hill, IL 60403-8813 | 2017-10-30 |
| 1285157313 | Midwest Advanced Radiology Center, LLC | Clinic/Center | 11600 S Kedzie Ave Ste G, Merrionette Park, IL 60803-6308 | 2017-07-20 |
| 1063960276 | Mars Healthcare LLC | Clinic/Center | 721 W Highway 22nd, Lake Zurich, IL 60047 | 2016-09-16 |
| 1922456474 | Berwyn Imaging LLC | Clinic/Center | 6728 Cermak Rd, Berwyn, IL 60402-2217 | 2016-05-25 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.