Cathy Raddatz, RN
Individual provider Active NPI Medical-Surgical Registered Nurse · Effingham, IL
NPI 1508060252 · NPPES record last updated Aug 23, 2016
Key facts
- NPI
- 1508060252
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Medical-Surgical Registered Nurse 163WM0705X
- License
- 041315173 (IL)
- Practice address
- 904 Medical Park Dr
Ste 2
Effingham, IL 62401-2193 - Phone
- (217) 347-2255
- Fax
- (217) 342-6910
- NPI assigned
- Jun 14, 2007
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
- Credentials
- Registered Nurse
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 041315173 | IL | MD | Medical-Surgical Registered Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical-Surgical Registered Nurse | 163WM0705X | 041315173 | IL | Yes |
Addresses
Primary practice location
904 Medical Park Dr
Ste 2
Effingham, IL 62401-2193
Mailing address
904 Medical Park Dr
Suite 2
Effingham, IL 62401-2193
Phone (217) 347-2255
Other providers in Effingham, IL
- Morgan A Probst
- Prorehab Inc
- Zachary Daniel Pruemer
- Shannon Quandt
- Larry Edward Quicksall
- Sheryl S Radloff
- Lalaine Ramirez-Hom
- John Randa
- Afthan Reents
- Meghan A Rewers
All providers in Effingham, IL · Medical-Surgical Registered Nurse in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 23, 2016. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.