Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 103G00000X | Clinical Psychologist | 071-004838 | IL |
Y | 103TC0700X | Clinical Psychologist | 071-004838 | IL |
NPI | 1003014804 |
---|---|
Provider Name | Dr. Elaine Dorothy Rado |
First Address | Lincolnwood, IL 60712-2112 |
Second Address | Lincolnwood, IL 60712-2112 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 03/07/2007 |
Last Update Date | 04/02/2016 |