Dr Radomska LTD

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

Legal business name

DR RADOMSKA LTD

Practice address

500 N Michigan Ave Ste 600
Chicago, IL 60611-3754

Phone

(312) 321-4764

Fax

(877) 807-8997

NPI assigned

Jul 9, 2018

Organization subpart

No

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

Authorized official

Name

Dr. Helena M Radomska, MD

Title

President

Phone

(312) 321-4764

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1531094400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1539475200000",
    "number": "1184110694",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113754",
            "telephone_number": "312-321-4764",
            "fax_number": "877-807-8997"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 N MICHIGAN AVE STE 600",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606113754",
            "telephone_number": "312-321-4764",
            "fax_number": "877-807-8997"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR RADOMSKA LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-07-09",
        "last_updated": "2018-10-14",
        "status": "A",
        "authorized_official_last_name": "RADOMSKA",
        "authorized_official_first_name": "HELENA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "312-321-4764",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036110900",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 14, 2018; 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.