Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RANDOLPH MCCONNIE, MD
ActiveRANDOLPH MCCONNIE, MD is a Pediatric Gastroenterology healthcare provider located in HAZEL CREST, Illinois. NPI 1770580706 is currently active in the NPPES registry. Verify at CMS.
Pediatric Gastroenterology · HAZEL CREST, IL
Registration Details
- NPI Number
- 1770580706
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jul 5, 2005 (21.088140118399 yrs)
- Last Updated
- Nov 19, 2025
- Licenses
-
036079072 (IL)036-079072 (IL)
Practice Information
- Address
-
17850 KEDZIE AVE3200HAZEL CREST, IL, 604292058Browse IL providers · Browse ZIP 60429
- Phone
- 7087988112
- Fax
- 7087989016
- Primary Specialty
-
Pediatric Gastroenterology
2080P0206X
- Additional Specialty
- Pediatric Gastroenterology
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.