Radiant Beauty Med Spa

Primary specialty

Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X

Legal business name

RADIANT BEAUTY MED SPA

Practice address

1515 S Prairie Ave Unit 411
Chicago, IL 60605-3019

Phone

(815) 529-5949

NPI assigned

Aug 9, 2025

Organization subpart

No

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

Authorized official

Name

Dr. Brandon Paul Wisinski, DO, MBA, MSNPI 1548689284

Title

Medical Director

Phone

(815) 529-5949

Specialties & licenses 1

Addresses

Practitioners 1

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

• Brandon Paul Wisinski, D.O., M.B.A., M.S.

  • Emergency Medicine Physician
  • Olympia Fields, IL
  • NPI 1548689284
  NPD Authorized official

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

{
    "created_epoch": "1754697600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754697600000",
    "number": "1689559536",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 S PRAIRIE AVE UNIT 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 S PRAIRIE AVE UNIT 411",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606053019",
            "telephone_number": "815-529-5949"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANT BEAUTY MED SPA",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-09",
        "last_updated": "2025-08-09",
        "certification_date": "2025-08-09",
        "status": "A",
        "authorized_official_last_name": "WISINSKI",
        "authorized_official_first_name": "BRANDON",
        "authorized_official_middle_name": "PAUL",
        "authorized_official_title_or_position": "MEDICAL DIRECTOR",
        "authorized_official_telephone_number": "815-529-5949",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DO, MBA, MS"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexi Radford, LCPC
• Latha Radhakrishnan, PHARM.D.
• Rambha Radhakrishnan, M.D.
• Radial Health SC
• Radiance Ride Inc
• Radiant Health Care Inc.
• Radical Authenticity & Wellness Psychotherapy Group LLC
• Radical Healing Psychotherapy PLLC
• Radical Realness Therapy PLLC
• Radical Resilience, LLC

• Multi-Specialty Clinic/Center in Chicago, IL
• Providers in Chicago, IL by specialty
• Multi-Specialty Clinic/Center in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2025; 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.