Individual
RANDY MCCOOL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1630 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
(847) 394-3553
(847) 394-3574
Mailing address
1630 W CENTRAL RD, ARLINGTON HEIGHTS, IL 60005-2407
(847) 394-3553
(847) 394-3574
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
31900
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1088086
PASSPORT
KY
01
—
160034075
RAILROAD MEDICARE
KY
05
—
64319007
—
KY
Enumeration date
06/21/2005
Last updated
09/24/2012
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