Organization
F. J. RANDIN MD LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
FRANCISCO J RANDIN M.D. (PROVIDER)
(773) 520-6555
Entity
Organization
Contact information
Practice address
7101 W ARCHER AVE, CHICAGO, IL 60638-2203
(773) 520-6555
(773) 586-6360
Mailing address
250 E PEARSON ST APT 3202, CHICAGO, IL 60611-5265
(773) 520-6555
(773) 586-6360
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0160415655
BLUE CROSS BLUE SHIELD OF ILLINOIS
IL
05
—
036035720
—
IL
Enumeration date
10/04/2007
Last updated
08/12/2008
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