Individual provider Active NPI

Wendie M Radousky

  • Doula
  • Glendale Heights, IL
National Provider Identifier
1740503754
Registry record updated Apr 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
DoulaTaxonomy code 374J00000X
Practice address
399 Wall St Ste M
Glendale Heights, IL 60139-1987
Phone
(224) 321-8416
NPI assigned
Mar 4, 2010
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 20, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Health Educator 174H00000X
Doula 374J00000X Primary

Addresses

Primary practice location

399 Wall St Ste M
Glendale Heights, IL 60139-1987

Mailing address

1787 Reeves Dr
Glendale Heights, IL 60139-2440
Phone (312) 880-7009

Other practice location 1

306 Southgate Dr
Northbrook, IL 60062-4817
Phone (312) 880-7009

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1267660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1524182400000",
    "number": "1740503754",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1787 REEVES DR",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601392440",
            "telephone_number": "312-880-7009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "399 WALL ST STE M",
            "city": "GLENDALE HEIGHTS",
            "state": "IL",
            "postal_code": "601391987",
            "telephone_number": "224-321-8416"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "306 Southgate Dr",
            "address_purpose": "LOCATION",
            "city": "Northbrook",
            "state": "IL",
            "postal_code": "600624817",
            "country_code": "US",
            "telephone_number": "312-880-7009",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RADOUSKY",
        "first_name": "WENDIE",
        "middle_name": "M",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-03-04",
        "last_updated": "2018-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "174H00000X",
            "taxonomy_group": "",
            "desc": "Health Educator",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "374J00000X",
            "taxonomy_group": "",
            "desc": "Doula",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Glendale Heights, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 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.