| NPI Details | |
|---|---|
| NPI | 1083632384 |
| Gender | Male |
| Enumeration Date | 07/17/2006 |
| Last Updated | 06/15/2012 |
| Entity Type | Individual |
| Active | Over 11 years ago |
| Practice Location | |
|---|---|
| 900 NORTH SHORE DR SUITE 120 LAKE BLUFF IL, 60044-2243, US |
|
| Phone | (855) 377-2336 |
| Fax | (847) 615-1697 |
| Business Location | |
|---|---|
| 900 NORTH SHORE DR SUITE 120 LAKE BLUFF IL, 60044-2243, US |
|
| Phone | (855) 377-2336 |
| Fax | (847) 615-1697 |
| Toxanomy | |
|---|---|
| Taxonomy Code | 2084P0804X |
| License State | Illinois |
| License Number | 036-117225 |
| Remove 1083632384 NPI Number | |
According to our database, Donald R. Raden MD NPI is 1083632384, taxonomy code is 2084P0804X and license number is 036-117225, license state is located at Illinois. Donald R. Raden MD physically located at 900 North Shore Dr, Lake Bluff IL, 60044-2243. NPI Number Donald R. Raden MD has the Individual type.
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1083632384 NPI number is provided on an as is basis without warranty of any kind. 1083632384 is maintained by the National Plan & Provider Enumeration System. The contents of Donald R. Raden MD are for informational purposes only.
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