Renata Radomski

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

160003551 Issued in IL

Practice address

3333 Stratford CT Unit 2B
Lake Bluff, IL 60044-2926

Phone

(413) 378-8672

NPI assigned

Apr 1, 2018

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1522540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1522540800000",
    "number": "1568968477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3333 STRATFORD CT UNIT 2B",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442926",
            "telephone_number": "413-378-8672"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 STRATFORD CT UNIT 2B",
            "city": "LAKE BLUFF",
            "state": "IL",
            "postal_code": "600442926",
            "telephone_number": "413-378-8672"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADOMSKI",
        "first_name": "RENATA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-04-01",
        "last_updated": "2018-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IL",
            "license": "160003551",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David G Preskill, MD
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• Tova Price
• Jennifer Dubrow Prozument, D.T.
• PRX Physical Therapy, PLLC
• Milka Raic
• Jackie Raj Rajani, MD
• Magali Ramirez
• Michael Christopher Randolph
• Desaise Ratliff

• Home Health Agency in Lake Bluff, IL
• Providers in Lake Bluff, IL by specialty
• Home Health Agency in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 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.