DR. MICHAEL LOUIS RADZIENDA (NPI# 1457342610) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457342610 |
| Entity Type | Individual |
| Full Name | DR. MICHAEL LOUIS RADZIENDA |
| Credential | M.D. |
| Practice Address |
4023 Picardy Dr Northbrook IL 60062 |
| Practice Telephone | 4144565006 |
| Practice Fax Number | 4144566259 |
| Mailing Telephone | 4144565006 |
| Mailing Fax Number | 4144566259 |
| Enumeration Date | 2005-11-04 |
| Last Update Date | 2018-10-09 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | 01060676A | IN | Allopathic & Osteopathic Physicians |
| Y | 207R00000X | Internal Medicine | 036095779 | IL | Allopathic & Osteopathic Physicians |
| N | 207R00000X | Internal Medicine | 50075 | WI | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| WI | 34752800 | 05 |
| Street Address |
4023 PICARDY DR |
| City | NORTHBROOK |
| State | IL |
| Zip Code | 60062 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679948962 | Elaine Radzienda | Occupational Therapist | 4023 Picardy Dr, Northbrook, IL 60062-2121 | 2015-12-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508487067 | Cvs Aoc Services, L.L.C. | Optometrist | 936 Willow Road, Store 0141, Northbrook, IL 60062 | 2020-05-06 |
| 1386103885 | Jennifer Venegas | Behavior Technician | 5 Revere Dr Suit 120, Northbrook, IL 60062 | 2019-03-14 |
| 1720558281 | Taylor Hundley | Behavior Technician | 5 Revere Dr. Suite 120, Northbrook, IL 60062 | 2018-11-27 |
| 1609344027 | Melissa Cepeda | Behavior Technician | 5 Revere Dr Suite 120, Northbrook, IL 60062 | 2018-11-03 |
| 1235606658 | Candace Cheyenne Kaiser | Behavior Technician | 5 Revere Dr, Suite 120, Northbrook, IL 60062 | 2018-10-24 |
| 1275058745 | The Renfrew Center of Illinois | Counselor | 5 Revere Dr, Suite 100, Northbrook, IL 60062 | 2017-08-07 |
| 1467984773 | Ayzenshteyn Chiropractic | Chiropractor | 3210 Doolittle Dr., Northbrook, IL 60062 | 2017-03-28 |
| 1396282695 | Josephine Driscoll | Physician Assistant | 400 Skokie Blvd., Suite 450, Northbrook, IL 60062 | 2017-01-24 |
| 1396297842 | Lauren Raphael Lcsw LLC | Social Worker | 3050 Pheasant Creek Drive, Apt. 104, Northbrook, IL 60062 | 2016-11-01 |
| 1851847073 | Jassim Vailoces | Physical Therapist | 634 Academy Dr, Northbrook, IL 60062 | 2016-08-28 |
| Find all providers in zip 60062 | ||||
| Taxonomy Code | 207R00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Internal Medicine |
| A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs. |
| Notes: Source: American Board of Medical Specialties, 2007. www.abms.org [7/1/2007: added definition, added source; 7/1/2011: modified source] - Additional Resources: American Board of Internal Medicine, 2007. http://www.abim.org/. American Osteopathic Board of Internal Medicine, 2007. http://www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Internal Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Internal Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235431305 | Jean Shlyak Md PC | Internal Medicine | 3492 Milwaukee Ave, Northbrook, IL 60062-7128 | 2010-11-23 |
| 1902134190 | David Schimel | Internal Medicine | 3706 Pebble Beach Rd, Northbrook, IL 60062-3110 | 2009-11-26 |
| 1023237591 | Michael Bernard Graham | Internal Medicine | 2775 Sanders Rd, Suite C1, Northbrook, IL 60062-6110 | 2007-04-24 |
| 1851457717 | Jean Shlyak | Internal Medicine | 3000 Dundee Rd Ste 215, Northbrook, IL 60062-2432 | 2006-12-28 |
| 1699840157 | Elena Koles, M.d. | Internal Medicine | 666 Dundee Rd Ste 602, Northbrook, IL 60062-2733 | 2006-11-21 |
| 1396832895 | Functional Medical Wellness Center, LLC | Internal Medicine | 3100 Dundee Rd Suite 506, Northbrook, IL 60062-2402 | 2006-10-06 |
| 1821191958 | Meena Malhotra | Internal Medicine | 1122 Willow Rd, Suite B, Northbrook, IL 60062-6824 | 2006-09-06 |
| 1144236233 | Dipeshkumar Shah | Internal Medicine | 666 Dundee Rd Ste 802, Northbrook, IL 60062-2734 | 2006-07-31 |
| 1497790240 | Northern Medicine, P.C. | Internal Medicine | 1528 Maple Ave, Northbrook, IL 60062-5475 | 2006-06-17 |
| 1235176074 | Nadeem Akhter | Internal Medicine | 3100 Dundee Rd Ste 506, Northbrook, IL 60062-2449 | 2006-06-01 |
| Find all providers in NORTHBROOK | ||||
| City | NORTHBROOK |
| Zip Code | 60062 |
Please comment or provide details below to improve the information on DR. MICHAEL LOUIS RADZIENDA.
| 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.