Organization Name: | DR DONALD RADEN MD LLC |
NPI Number: | 1326301482 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | DONALD RADEN (CEO) |
Mailing Address: | 900 North Shore Dr Ste 120 Lake Bluff |
State: | IL US |
Postal Code: | 600442243 |
Phone Number: | 8553772336 |
Fax Number: | 8476151697 |
NPI Enumeration Date: | 06/22/2012 |
NPI Last Update Date: | 06/22/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2084P0804X |
License Number: | 36117225 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Psychiatry & Neurology |
Taxonomy Specialization: | Child & Adolescent Psychiatry |
Taxonomy Definition: | 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. |