DR DONALD RADEN MD LLC (NPI# 1326301482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326301482 |
| Entity Type | Organization |
| Organization Name | DR DONALD RADEN MD LLC |
| Practice Address |
900 North Shore Dr Ste 120 Lake Bluff IL 60044-2243 |
| Practice Telephone | 8553772336 |
| Practice Fax Number | 8476151697 |
| Mailing Telephone | 8553772336 |
| Mailing Fax Number | 8476151697 |
| Enumeration Date | 2012-06-22 |
| Last Update Date | 2012-06-22 |
| Authorized Official Name | DR. DONALD RADEN (CEO) |
| Authorized Official Telephone | 8553772336 |
| Authorized Official Credential | MD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2084P0804X |
Psychiatry & Neurology Specialization: Child & Adolescent Psychiatry |
36117225 | IL | Allopathic & Osteopathic Physicians |
| Street Address |
900 NORTH SHORE DR STE 120 |
| City | LAKE BLUFF |
| State | IL |
| Zip Code | 60044-2243 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003895657 | Cornelius D Mahoney | Psychologist | 900 North Shore Dr, Ste 200, Lake Bluff, IL 60044-2243 | 2006-01-12 |
| 1538539432 | Deborahanne Reimer | Counselor | 900 North Shore Dr, Lake Bluff, IL 60044-2243 | 2015-10-05 |
| 1497132948 | Robert Iliff | Chiropractor | 900 North Shore Dr, Suite 170, Lake Bluff, IL 60044-2243 | 2015-05-05 |
| 1699174268 | Sheila Dunn | Counselor | 900 North Shore Dr, Lake Bluff, IL 60044-2243 | 2014-08-19 |
| 1306250006 | John Birdsall | Nutritionist | 900 North Shore Dr, Suite 120, Lake Bluff, IL 60044-2243 | 2014-06-20 |
| 1851714091 | Lauren Howard | Counselor | 900 North Shore Dr, Suite 120, Lake Bluff, IL 60044-2243 | 2014-01-23 |
| 1831511690 | The Chicago Integrative Center for Psychiatry LLC | Psychologist | 900 North Shore Dr, Suite 120, Lake Bluff, IL 60044-2243 | 2014-01-14 |
| 1275964074 | Chicago Day School | Counselor | 900 North Shore Dr, Suite 140, Lake Bluff, IL 60044-2243 | 2013-12-03 |
| 1962740753 | Gail Reich | Counselor | 900 North Shore Dr, Suite 120, Lake Bluff, IL 60044-2243 | 2013-01-29 |
| 1316270861 | Matthew Gallo | Counselor | 900 North Shore Dr, 120, Lake Bluff, IL 60044-2243 | 2009-09-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013494236 | Therese Ann Hejazinia | Nurse Practitioner | Westmoreland Obgyn Associate, 917 Sherwood Dr. Suite 200, Lake Bluff, IL 60044 | 2018-07-20 |
| 1558745067 | Luxottica of America Inc. | Eyewear Supplier (Equipment, not the service) | 975 Rockland Road, Lake Bluff, IL 60044 | 2015-07-14 |
| 1720416274 | Angela Marcotte | Physical Therapist | 600 Basil Rd, Lake Bluff, IL 60044 | 2013-10-21 |
| 1821339482 | Lake Bluff Family Eye Care, Inc. | Optometrist | 755 Rockland Road, Suite 201, Lake Bluff, IL 60044 | 2013-03-07 |
| 1700126067 | Nicole Teresa Genbauer | Counselor | 900 North Shore Drive Suite 120, Lake Bluff, IL 60044 | 2013-02-25 |
| 1336426337 | Howard Wayne Siegel | Pharmacist | 12700 W Rockland, Lake Bluff, IL 60044 | 2011-11-04 |
| 1811121494 | Wendy Lou Mccarty | Marriage & Family Therapist | 655 Rockland Road, 207, Lake Bluff, IL 60044 | 2009-05-11 |
| 1346485927 | Cheryl Jackson Od PC | Optometrist | 10 E. Scranton Ave, Suite 203, Lake Bluff, IL 60044 | 2008-12-10 |
| 1184847279 | Allied Counseling Services PC | Psychologist | 49 Sherwood Terrace, Ste T, Lake Bluff, IL 60044 | 2007-04-10 |
| 1306911854 | Kari Christopherson Falls | Social Worker | 21 N Skokie Blvd, Associates In Therapy Assessment LLC Suite 203, Lake Bluff, IL 60044 | 2006-11-21 |
| Find all providers in zip 60044 | ||||
| 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] |
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| 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 | ||||
| City | LAKE BLUFF |
| Zip Code | 60044 |
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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.