Karen Raden, RD
Individual provider Active NPI Registered Dietitian · Highwood, IL
NPI 1154521631 · NPPES record last updated Feb 19, 2019
Key facts
- NPI
- 1154521631
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Registered Dietitian 133V00000X
- License
- 164003846 (IL)
- Practice address
- 200 Green Bay Rd Ste 200
Highwood, IL 60040 - Phone
- (847) 235-2139
- NPI assigned
- Jul 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Opted out of Medicare
- Yes, effective Mar 16, 2016 through Mar 16, 2028
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Karen Raden, LLC | Dietitian, Registered | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 164003846 | IL | Yes |
Addresses
Primary practice location
200 Green Bay Rd Ste 200
Highwood, IL 60040
Mailing address
200 Green Bay Rd Ste 200
Highwood, IL 60040-1703
Phone (847) 235-2139
Other practice location 1
2177 Shermer Road
Northbrook, IL 60062
Phone (847) 877-4393
Other providers in Highwood, IL
- Jennifer Marie Poliwka
- Priz Therapy Services, Inc.
- Andrea Prizant
- PVR Dental PC
- Donald R. Raden
- Shawna Reinhardt
- Aileen Remot
- David Richards
- Carolina Rodriguez
- Regina Gibbs Rosenstein
All providers in Highwood, IL · Registered Dietitian in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Feb 19, 2019. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Opt Out Affidavits (CMS).
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.