Samuel John Randall, | |
1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 | |
(312) 694-0484 | |
Not Available |
Full Name | Samuel John Randall |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 6 Years |
Location | 1475 E Belvidere Rd Unit 385, Grayslake, Illinois |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1942704507 | NPI | - | NPPES |
1146320276 | Medicaid | MI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | T2729 (Texas) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (* (Not Available)) | Secondary |
Facility Name | Location | Facility Type |
---|---|---|
Harris Health System | Houston, TX | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Baylor College Of Medicine | 8224941265 | 688 |
Entity Name | Baylor College Of Medicine |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1053352914 PECOS PAC ID: 8224941265 Enrollment ID: O20031106000562 |
Mailing Address | Practice Location Address |
---|---|
Samuel John Randall, 1504 Taub Loop, Houston, TX 77030-1608 Ph: (713) 798-1750 | Samuel John Randall, 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030-2026 Ph: (312) 694-0484 |
Richard R. Clark, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030 Phone: 847-535-8000 | |
Adiba Khan, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 E Belvidere Rd, Suite 385, Grayslake, IL 60030 Phone: 847-535-7157 Fax: 312-694-0655 | |
Rachel Jean Bernardo, DO Family Medicine Medicare: Medicare Enrolled Practice Location: 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030 Phone: 847-535-7157 | |
Michael Kraft, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 E. Belvidere Road, Suite 385, Grayslake, IL 60030 Phone: 847-535-7157 | |
Dr. Deborah S Clements, M.D. Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1275 E Belvidere Rd, Suite 250, Grayslake, IL 60030 Phone: 847-926-0106 | |
Bryan Killian, Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1475 E Belvidere Rd, Grayslake, IL 60030 Phone: 312-926-0106 Fax: 312-694-0655 | |
Francesca Therese Meade, Family Medicine Medicare: Medicare Enrolled Practice Location: 1475 E Belvidere Rd Unit 385, Grayslake, IL 60030 Phone: 847-535-7157 |