Organization Active NPI

Radiant Health Care Inc.

  • Family Medicine Physician
  • Chicago, IL
National Provider Identifier
1689068926
Registry record updated Mar 25, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
RADIANT HEALTH CARE INC.
Practice address
5757 N Lincoln Ave
Suite 18
Chicago, IL 60659-4714
Phone
(847) 983-8356
NPI assigned
Mar 25, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2015

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

Authorized official

Name
Mr. Laura Ravago
Title
President
Phone
(847) 983-8356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207Q00000X Primary

Addresses

Primary practice location

5757 N Lincoln Ave
Suite 18
Chicago, IL 60659-4714

Mailing address

5757 N Lincoln Ave
Suite 18
Chicago, IL 60659-4714
Phone (847) 983-8356

National Provider Directory

National Provider Directory

Locations

5757 N Lincoln Ave
Ste 18
Chicago, IL 60659
Phone (773) 907-0300

NPI Registry JSON

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

{
    "created_epoch": "1427241600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1427241600000",
    "number": "1689068926",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5757 N LINCOLN AVE",
            "address_2": "SUITE 18",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594714",
            "telephone_number": "847-983-8356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5757 N LINCOLN AVE",
            "address_2": "SUITE 18",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606594714",
            "telephone_number": "847-983-8356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT HEALTH CARE INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-03-25",
        "last_updated": "2015-03-25",
        "status": "A",
        "authorized_official_last_name": "RAVAGO",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "847-983-8356",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Mar 25, 2015; 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.