Michael Dean Raida in Chicago - Psychiatry
Michael Dean Raida - NPI 1518910389
Michael Dean Raida is a Psychiatry in Chicago, Illinois. Michael Dean Raida practices all healthcare services and medical treatments related to Psychiatry. The NPI Number for Michael Dean Raida is 1518910389. The last update date is 2009-03-30.
Michael Dean Raida's current location address is 211 E. Ontario St., Chicago, Illinois. You can contact this provider via phone number 3126407732 and fax number 3129889363. The mailing address for Michael Dean Raida is 211 E. Ontario St., Chicago, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Dean Raida |
|---|---|
| Address | 211 E. Ontario St., Chicago, Illinois |
| Phone Number | 3126407732 |
| Fax Number | 3129889363 |
| Sole Proprietor | Y |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1518910389 |
|---|---|
| Provider Enumeration Date | 2006-05-19 |
| Last Updated Date | 2009-03-30 |
Provider Mailing Address Detail
| Address | 211 E. Ontario St. |
|---|---|
| City | Chicago |
| State | Illinois (IL) |
| Post Code | 60611 |
| Phone Number | 3126407732 |
| Fax Number | 3129889363 |
Provider's Primary Taxonomy Detail
| Speciality | Psychiatry |
|---|---|
| Taxonomy | 2084P0800X |
| Licence No | 036-112981 |
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Definition: A Psychiatrist specializes in the prevention, diagnosis, and treatment of mental disorders, emotional disorders, psychotic disorders, mood disorders, anxiety disorders, substance-related disorders, sexual and gender identity disorders and adjustment |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36112981 | IL | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Michael Dean Raida by the Centers for Medicare & Medicaid Services (CMS)?
The Michael Dean Raida has been assigned the NPI (National Provider Identifier) 1518910389. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Michael Dean Raida?
The Michael Dean Raida is situated at 211 E. Ontario St., in the city of Chicago, state of IL, with the zip code 60611.
What is Michael Dean Raida's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Michael Dean Raida's specialized field of practice is Psychiatry, and the corresponding taxonomy code that categorizes this area of specialization is 2084P0800X.
On what date did the Centers for Medicare & Medicaid Services issue the 1518910389 to Michael Dean Raida?
The Michael Dean Raida received its 1518910389 assignment from the Centers for Medicare & Medicaid Services on 2006-05-19.
As of what date were the Michael Dean Raida's details last updated?
The information pertaining to the Michael Dean Raida, including its address, specialty, and other details, was most recently updated on 2009-03-30.