NPIMap

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
Organization subpart
No

Authorized official

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

Practitioners 8

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

National Provider Directory

National Provider Directory

Locations

4340 W 95th St
Oak Lawn, IL 60453
Phone (708) 425-3770

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

Specialties & licenses 1

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

Addresses

NPPES NPI Registry

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

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 7, 2009.

{
    "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.