Organization Active NPI

Raden Medical CHI, PLLC

  • Integrative Medicine Physician
  • Chicago, IL
National Provider Identifier
1467136127
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Integrative Medicine PhysicianTaxonomy code 202D00000X
Legal business name
RADEN MEDICAL CHI, PLLC
Practice address
1915 N Clybourn Ave Ste 101
Chicago, IL 60614-4903
Phone
(773) 598-6995
NPI assigned
Jun 13, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Authorized official

Name
Jason Ostby
Title
Clinic & Operations Director
Phone
(847) 235-2139

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Integrative Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 202D00000X Primary

Addresses

Primary practice location

1915 N Clybourn Ave Ste 101
Chicago, IL 60614-4903

Mailing address

1915 N Clybourn Ave Ste 101
Chicago, IL 60614-4903
Phone (773) 598-6995

Other names 1

  • Raden Wellness Other name

National Provider Directory

National Provider Directory

Locations

1915 N Clybourn Ave
Ste 101
Chicago, IL 60614
Phone (773) 598-6995

Practitioners & affiliated clinicians

Practitioners 1

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": "1686614400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1686614400000",
    "number": "1467136127",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1915 N CLYBOURN AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144903",
            "telephone_number": "773-598-6995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1915 N CLYBOURN AVE STE 101",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606144903",
            "telephone_number": "773-598-6995"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADEN MEDICAL CHI, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-13",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A",
        "authorized_official_last_name": "OSTBY",
        "authorized_official_first_name": "JASON",
        "authorized_official_title_or_position": "CLINIC & OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "847-235-2139"
    },
    "taxonomies": [
        {
            "code": "202D00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Integrative Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Raden Wellness",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chicago, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2023; 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.