Organization Active NPI

Dr Dale S Raines & Associates LTD

  • Specialist
  • Oak Lawn, IL
National Provider Identifier
1215076708
Registry record updated May 7, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
036056728 Issued in IL
Legal business name
DR DALE S RAINES & ASSOCIATES LTD
Practice address
10837 S Cicero Ave
Suite 320
Oak Lawn, IL 60453-6458
Phone
(708) 636-1601
Fax
(608) 636-1825
NPI assigned
Feb 5, 2007
Last updated
May 7, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 7, 2009

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

Authorized official

Name
Dr. Robert A Raines, M.D.NPI 1164499596
Title
President
Phone
(708) 636-1601

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
SpecialistGroup: 193400000X SINGLE SPECIALTY GROUP 174400000X 036056728 IL Primary

Addresses

Primary practice location

10837 S Cicero Ave
Suite 320
Oak Lawn, IL 60453-6458

Mailing address

10837 S Cicero Ave
Suite 320
Oak Lawn, IL 60453-6458
Phone (708) 636-1601

National Provider Directory

National Provider Directory

Locations

10837 S Cicero Ave
Ste 320
Oak Lawn, IL 60453
Phone (708) 636-1601

4340 W 95th St
Oak Lawn, IL 60453
Phone (708) 636-1601

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1170633600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1241654400000",
    "number": "1215076708",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10837 S CICERO AVE",
            "address_2": "SUITE 320",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536458",
            "telephone_number": "708-636-1601",
            "fax_number": "608-636-1825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10837 S CICERO AVE",
            "address_2": "SUITE 320",
            "city": "OAK LAWN",
            "state": "IL",
            "postal_code": "604536458",
            "telephone_number": "708-636-1601",
            "fax_number": "608-636-1825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DR DALE S RAINES & ASSOCIATES LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-05",
        "last_updated": "2009-05-07",
        "status": "A",
        "authorized_official_last_name": "RAINES",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "708-636-1601",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Specialist",
            "state": "IL",
            "license": "036056728",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Oak Lawn, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2009; 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.