Adrian Ignacio Raygoza, MPH

Primary specialty

Peer SpecialistTaxonomy code 175T00000X

License

39013 Issued in IL

Practice address

511 E Schaumburg Rd
Streamwood, IL 60107-1566

Phone

(630) 550-3036

NPI assigned

Oct 10, 2024

Last updated

Oct 10, 2024By the provider in NPPES

Sex

Male

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)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Resilience Warriors LLC

  • Community/Behavioral Health Agency
  • Streamwood, IL
  • NPI 1083434567
  NPD Authorized official

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

{
    "created_epoch": "1728518400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1728518400000",
    "number": "1699594150",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "511 E SCHAUMBURG RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071566",
            "telephone_number": "630-550-3036"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 E SCHAUMBURG RD",
            "city": "STREAMWOOD",
            "state": "IL",
            "postal_code": "601071566",
            "telephone_number": "630-550-3036"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RAYGOZA",
        "first_name": "ADRIAN",
        "middle_name": "IGNACIO",
        "name_prefix": "Mr.",
        "credential": "MPH",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-10",
        "last_updated": "2024-10-10",
        "certification_date": "2024-10-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "175T00000X",
            "taxonomy_group": "",
            "desc": "Peer Specialist",
            "state": "IL",
            "license": "39013",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Primary Eye Care, LTD.
• William Puga, M.D.
• Megan Punzalan
• Estela J. Ramos
• Tracie Lyn Rankins
• Rci (WRS), LLC (RUSH Physical Therapy)
• Ready Set Grow Pediatric Therapy, Inc.
• Real Talk Therapy Solutions LLC
• Kirsten Refvik, LCSW
• Mary Reiner, P.A.

• Peer Specialist in Streamwood, IL
• Providers in Streamwood, IL by specialty
• Peer Specialist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2024; 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.