Organization Active NPI

Bob Rady, Inc

  • Certified Registered Nurse Anesthetist
  • Tinley Park, IL
National Provider Identifier
1033266366
Registry record updated Jan 9, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
Legal business name
BOB RADY, INC
Practice address
17954 Highland Ave
Tinley Park, IL 60477-4269
Phone
(708) 614-7588
Fax
(708) 614-6588
NPI assigned
Jan 5, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 9, 2008

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

Authorized official

Name
Robert J Rady, CRNANPI 1407903719
Title
Owner
Phone
(708) 614-7588

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse AnesthetistGroup: 193400000X SINGLE SPECIALTY GROUP 367500000X IL Primary

Addresses

Primary practice location

17954 Highland Ave
Tinley Park, IL 60477-4269

Mailing address

17954 Highland Ave
Tinley Park, IL 60477-4269
Phone (708) 614-7588

Other identifiers 1

IdentifierTypeStateIssuer
252430OtherINMEDICARE GRP

National Provider Directory

National Provider Directory

Locations

414 N Orleans St
Ste 209
Chicago, IL 60654
Phone (312) 828-0060

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199836800000",
    "number": "1033266366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17954 HIGHLAND AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774269",
            "telephone_number": "708-614-7588",
            "fax_number": "708-614-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17954 HIGHLAND AVE",
            "city": "TINLEY PARK",
            "state": "IL",
            "postal_code": "604774269",
            "telephone_number": "708-614-7588",
            "fax_number": "708-614-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BOB RADY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-05",
        "last_updated": "2008-01-09",
        "status": "A",
        "authorized_official_last_name": "RADY",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-614-7588",
        "authorized_official_credential": "CRNA"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "IL",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE GRP",
            "identifier": "252430",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Tinley Park, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2008; 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.