Dr. Jerome R Randall Jr. is a Olympia Fields, Illinois based male podiatrist with 23 years of experience in Podiatry. He completed his graduation from William M. Scholl College Of Podiatric Medicine in 2001. He accepts the Medicare-approved amount. Patients will not be billed for any more than the Medicare deductible and coinsurance. Active license number of Dr. Jerome R Randall Jr. for Podiatry is 016-005113 in Illinois. Dr. Jerome R Randall Jr. is qualified with a Doctor of Podiatric Medicine (D.P.M.) degree, licensed by the state, and practicing within the scope of that license. He diagnose and treat foot diseases and deformities. He can perform medical, surgical and other operative procedures, prescribe corrective devices and prescribe and administer drugs and physical therapy.
Complete Profile:
Dr. Jerome R Randall Jr. speciality, credentials, practice address, contact phone number and fax are as below.
Patients can directly walk in or can call on the below given phone number for appointment.
Specialization:
Podiatrist
Credentials:
DPM
Experience:
23+ years
Medical School Attended:
William M. Scholl College Of Podiatric Medicine
Graduation Year:
2001
Gender:
Male
Accepts Medicare Assignment:
Yes
Practice Address:
19900 Governors Dr, #12, Olympia Fields, Illinois, 60461-1057
Phone:
708-898-2380
Fax:
708-898-2326
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details are as mentioned below.
PAC ID:
1759281868
Enrollment ID:
I20040113000440
NPI Number:
1376689257
NPI Enumeration Date:
29 Jan, 2007
NPI Last Update On:
22 Jul, 2024
Medical Licenses:
Doctors can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Dr. Jerome R Randall Jr. are as mentioned below.
License Number
Specialization
State
Status
016-005113
Podiatry
Illinois
Primary
Other Medical Identifiers:
Other legacy medical identifiers associated with Dr. Jerome R Randall Jr. such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
016005113
Medicaid
Illinois
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
19900 Governors Dr, #12 Olympia Fields, Illinois
Zip:
60461-1057
Phone Number:
708-898-2380
Fax Number:
708-898-2326
Patients can reach Dr. Jerome R Randall Jr. at 19900 Governors Dr, #12, Olympia Fields, Illinois or can call to book an appointment on 708-898-2380. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 14 October, 2024.
Stephanie E Spicer, DPM 31+ yr exp.Speciality: Podiatrist - Foot & Ankle Surgery Address: 19900 Governors Dr Ste 102, IL Phone: 708-957-3338 Fax: 708-856-0340