Organization
DR DONALD RADEN MD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DONALD RADEN MD (CEO)
(855) 377-2336
Entity
Organization
Contact information
Practice address
900 NORTH SHORE DR, STE 120, LAKE BLUFF, IL 60044-2243
(855) 377-2336
(847) 615-1697
Mailing address
900 NORTH SHORE DR, STE 120, LAKE BLUFF, IL 60044-2243
(855) 377-2336
(847) 615-1697
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
36117225
IL
Other
Enumeration date
06/22/2012
Last updated
06/22/2012
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