Jerome R Randall Jr. (NPI# 1376689257, PAC ID# 1759281868) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is PODIATRY.
| Nation Provider ID (NPI) | 1376689257 |
| PAC ID by PECOS | 1759281868 |
| Professional Enrollment ID | I20040113000440 |
| Full Name | Jerome R Randall Jr. |
| Organization Legal Name | PROFESSIONAL FOOT AND ANKLE LLC |
| Address |
19900 Governors Dr Suite 12 Olympia Fields IL 60461-1059 |
| Phone Number | 7088982380 |
| Gender | M |
| Credential | DPM |
| Medical School | DR. WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE |
| Graduation Year | 2001 |
| Primary Specialty | PODIATRY |
| Group Practice PAC ID | 4789740010 |
| Number of Group Practice Members | 2 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 6560 W Higgins Ave, Chicago, IL 60656-2161 | 7737750300 | PODIATRY PLUS PC |
| 19900 Governors Dr, Suite 12, Olympia Fields, IL 60461-1059 | 7088982380 | PROFESSIONAL FOOT AND ANKLE LLC |
| Organization Legal Name | PROFESSIONAL FOOT AND ANKLE LLC |
| Physicians | 2 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ramin Ghazizadeh | Podiatry | Professional Foot and Ankle LLC | 19900 Governors Dr, Suite 12, Olympia Fields, IL 60461-1059 |
| Street Address |
19900 GOVERNORS DR SUITE 12 |
| City | OLYMPIA FIELDS |
| State | IL |
| Zip | 60461-1059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Arcot A Dwarakanathan | Endocrinology | 19900 Governors Dr, Suite 105, Olympia Fields, IL 60461-1060 | |
| Stephanie E Spicer | Podiatry | 19900 Governors Dr, Suite 102, Olympia Fields, IL 60461-1060 | |
| Ramin Ghazizadeh | Podiatry | Professional Foot and Ankle LLC | 19900 Governors Dr, Suite 12, Olympia Fields, IL 60461-1059 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shinu P Varghese | Optometry | Bolingbrook Eye Specialists Ltd | 7516 S Cass Ave Brookhaven Plz, Suite 12, Darien, IL 60461 |
| Robert R Richardson | Optometry | Bolingbrook Eye Specialists Ltd | 7516 S Cass Ave Brookhaven Plz, Suite 12, Darien, IL 60461 |
| Gordon A Schulz | Psychologist, Clinical | Franciscan Physician Network | 20121 Crawford Ave, Olympia Fields, IL 60461-1009 |
| Kyle J Kleist | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Jared Mahylis | Orthopedic Surgery | Specialty Physicians of Illinois LLC | 20201 S Crawford Ave, Suite 1400, Olympia Fields, IL 60461-1010 |
| Veera A Rao | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Anil Kumar Lamba | General Surgery | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Charles E Geringer | Rheumatology | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| James Siegert | Internal Medicine | Specialty Physicians of Illinois LLC | 20201 Crawford Ave, Suite 1276, Olympia Fields, IL 60461-1010 |
| Ritchie L Ambroise | Hospitalist | Franciscan Physician Network | 20201 Crawford Ave, Olympia Fields, IL 60461-1010 |
| Find all physicians in zip 60461 | |||
| City | OLYMPIA FIELDS |
| Zip Code | 60461 |
| Specialty | PODIATRY |
| City + Specialty | OLYMPIA FIELDS + PODIATRY |
Please comment or provide details below to improve the information on Jerome R Randall Jr..
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.