Individual provider Active NPI

Raymond J McDonald, MD

  • Internal Medicine Physician
  • River Forest, IL
National Provider Identifier
1942203500
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
036045872 Issued in IL
Practice address
534 Jackson Ave
River Forest, IL 60305-1804
Phone
(708) 343-0079
NPI assigned
May 27, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 036045872 IL Primary

Addresses

Primary practice location

534 Jackson Ave
River Forest, IL 60305-1804

Mailing address

2010 N Harlem Ave
Elmwood Park, IL 60707-3119
Phone (708) 452-1111

Other identifiers 1

IdentifierTypeStateIssuer
036045872MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040621000302 IL Practitioner - Geriatric MedicinePractitioner - Internal Medicine 9537144068 Practice locations: Bellwood, IL; Hillside, IL; Melrose Park, IL; Oak Park, IL

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Resurrection Services Internal Medicine Past Accepting new patients
Preferred Podiatry Group PC Past Accepting new patients
Presence Healthcare Services Internal Medicine Past Accepting new patients
Aspire of Illinois Past Accepting new patients
Presence Healthcare Services Internal Medicine Past Accepting new patients

Organizations & group practices 5

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

NPI Registry JSON

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

{
    "created_epoch": "1117152000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1942203500",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2010 N HARLEM AVE",
            "city": "ELMWOOD PARK",
            "state": "IL",
            "postal_code": "607073119",
            "telephone_number": "708-452-1111",
            "fax_number": "708-452-4593"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "534 JACKSON AVE",
            "city": "RIVER FOREST",
            "state": "IL",
            "postal_code": "603051804",
            "telephone_number": "708-343-0079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCDONALD",
        "first_name": "RAYMOND",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-27",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "IL",
            "license": "036045872",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036045872",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in River Forest, IL

Sources for this page

Verify at the official NPI Registry.