Organization
RANDY ZIMMERMAN M.D.,P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RANDY R ZIMMERMAN M.D. (PRESIDENT)
(847) 277-0500
Entity
Organization
Contact information
Practice address
27750 W HIGHWAY 22, SUITE 120, BARRINGTON, IL 60010-2379
(847) 277-0500
(847) 277-0505
Mailing address
27750 W HIGHWAY 22, SUITE 120, BARRINGTON, IL 60010-2379
(847) 277-0500
(847) 277-0505
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
—
IL
363L00000X
Nurse Practitioner
—
IL
363LW0102X
Women's Health Nurse Practitioner
—
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
04921797
BLUE CROSS
IL
Enumeration date
08/13/2007
Last updated
11/26/2007
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