Individual provider Active NPI

Elaine Dorothy Rado, PH.D.

  • Clinical Psychologist
  • Lincolnwood, IL
National Provider Identifier
1003014804
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071-004838 Issued in IL
Practice address
7101 N Cicero Ave
Suite 203
Lincolnwood, IL 60712-2112
Phone
(773) 870-0024
NPI assigned
Jul 3, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071-004838 IL Primary

Addresses

Primary practice location

7101 N Cicero Ave
Suite 203
Lincolnwood, IL 60712-2112

Mailing address

7101 N Cicero Ave
Suite 203
Lincolnwood, IL 60712-2112
Phone (773) 870-0024

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071-004838ILMDClinical Psychologist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454544000000",
    "number": "1003014804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7101 N CICERO AVE",
            "address_2": "SUITE 203",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122112",
            "telephone_number": "773-870-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7101 N CICERO AVE",
            "address_2": "SUITE 203",
            "city": "LINCOLNWOOD",
            "state": "IL",
            "postal_code": "607122112",
            "telephone_number": "773-870-0024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADO",
        "first_name": "ELAINE",
        "middle_name": "DOROTHY",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-07-03",
        "last_updated": "2016-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071-004838",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincolnwood, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.