Radden, Genene

Radden, Genene is an individual health care provider with primary practice located at 1801 W Windsor Rd , Champaign IL 61822-6217. She recently has only one registered license in Allopathic & Osteopathic Physicians / Rheumatology, which is considered as her primary health care specialty. Radden, Genene can be contacted via phone (217) 366-1370.

Contact Information

Primary practice address
1801 W Windsor Rd Champaign IL 61822-6217
Phone: (217) 366-1370
Fax: (217) 366-5348
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Rheumatology 207RR0500X 036-115968 Illinois

Profile Details

NPI number 1710917422
LBN Legal business name Radden, Genene
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Jan 5th, 2022 - about 3 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1710917422 NPPES
Illinois Other P00413138 RR INDIVIDUAL
Illinois Other CA2264 RR INDIVIDUAL
Illinois MEDICAID 036115968 RR INDIVIDUAL

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