DONALD R. RADEN (NPI# 1083632384) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083632384 |
| Entity Type | Individual |
| Full Name | DONALD R. RADEN |
| Credential | MD |
| Practice Address |
200 Green Bay Rd Ste 200 Highwood IL 60040-1703 |
| Practice Telephone | 8472352139 |
| Mailing Telephone | 8472352139 |
| Mailing Fax Number | 8476151697 |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2019-03-21 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
036-117225 | IL | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IL | MEDICARE GROUP NUMBER | 207844 | 01 |
| IL | GROUP BCBS | 1633897 | 01 |
| GROUP TAX ID | 45-5547004 | 01 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 900 North Shore Dr, Suite 120, Lake Bluff, IL 600442243 | 8553772336 | 8476151697 |
| Street Address |
200 GREEN BAY RD STE 200 |
| City | HIGHWOOD |
| State | IL |
| Zip Code | 60040-1703 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154521631 | Karen Raden | Dietitian, Registered | 200 Green Bay Rd Ste 200, Highwood, IL 60040 | 2007-07-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861977274 | Sophie Streveler | Specialist/Technologist | 220 Oakridge Ave, Highwood, IL 60040 | 2018-10-02 |
| 1356723985 | Hilary Sartain Grimm | Dentist | 410 Green Bay Rd, Highwood, IL 60040 | 2015-06-19 |
| 1891196580 | Pvr Dental PC | Dentist | 410 Greenbay Rd., Suite #1, Highwood, IL 60040 | 2014-09-12 |
| 1841359759 | Morton Miller | Internal Medicine | 5310 N Sheridan, Chicago, IL 60040 | 2006-12-06 |
| 1447735923 | Chau Minh Ha | Nurse Practitioner | 50 Pleasant Ave, Highwood, IL 60040 | 2018-10-01 |
| 1609315449 | Femcare Ob-gyn Ltd | Obstetrics & Gynecology | 396 Remington Blvd Ste 250, Bolingbrook, IL 60040 | 2017-02-13 |
| 1467732966 | Ismael Gerald Salvador | Dentist | 616 Sheridan Rd, Unit 2b, Highwood, IL 60040-1051 | 2011-08-29 |
| 1487703419 | Movement Possibilities | Physical Therapist | 324 Ashland Ave, Highwood, IL 60040-1104 | 2007-01-09 |
| 1154470102 | John Statza | Physical Therapist | 324 Ashland Ave, Highwood, IL 60040-1104 | 2007-01-09 |
| 1639275506 | Carlos M Boileve | Chiropractor | 130 Washington Ave, Highwood, IL 60040-1122 | 2006-09-16 |
| Find all providers in zip 60040 | ||||
| Taxonomy Code | 2084P0804X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Child & Adolescent Psychiatry |
| Child & Adolescent Psychiatry is a subspecialty of psychiatry with additional skills and training in the diagnosis and treatment of developmental, behavioral, emotional, and mental disorders of childhood and adolescence. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144851684 | Greywood Health Center LLC | Psychiatry & Neurology | 303 W Institute Pl Fl 3, Chicago, IL 60610-3080 | 2020-02-03 |
| 1285273540 | Tms Clinical Services Pllc | Psychiatry & Neurology | 1100 Jorie Blvd Ste 172, Oak Brook, IL 60523-4409 | 2020-01-03 |
| 1942702386 | Brain and Wellness Institute LLC | Psychiatry & Neurology | 30 W Oak St Apt 14a, Chicago, IL 60610-8724 | 2018-03-01 |
| 1598278749 | Elemental Treatment Center Ltd | Psychiatry & Neurology | 612 S Western Ave Apt 1, Chicago, IL 60612-4682 | 2017-11-09 |
| 1225404551 | Family Renewed, LLC | Psychiatry & Neurology | 1004 Pebble Beach Dr, Caseyville, IL 62232-2834 | 2015-08-21 |
| 1487032082 | Jerry Francisco Benzl | Psychiatry & Neurology | 1740 Taylor St., Chicago, IL 60612 | 2015-05-14 |
| 1942697800 | Dr Mo S.c | Psychiatry & Neurology | 2131 W Silverleaf Ln, Addison, IL 60101-6404 | 2015-04-17 |
| 1104234046 | Hitekshya Nepal | Psychiatry & Neurology | 5230 6th Street Frontage Rd E, Springfield, IL 62703-5128 | 2014-07-23 |
| 1740558261 | Jyoti Shah | Psychiatry & Neurology | 1335 N Mill St Ste 100, Naperville, IL 60563-2047 | 2011-12-12 |
| 1083921530 | Jodi Chase | Psychiatry & Neurology | 480 Elm Pl Ste 106, Highland Park, IL 60035-2535 | 2010-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.