MEDICARE: RADIUS FOUNDATION, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	261QR0405X	Substance Use Disorder Rehabilitation Clinic/Center
2	103K00000X	Behavior Analyst
3	261QM2800X	Methadone Clinic

General Provider Information

NPI Number	:	1710775044
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	RADIUS FOUNDATION, INC.

Provider Business Mailing Address
First Line	:	11952 S HARLEM AVE STE 100
Second Line	:
City	:	PALOS HEIGHTS
State	:	IL
Zip	:	60463-1386
Country	:	US
Telephone Number	:	708-923-0800
Fax Number	:	708-923-0800

Provider Business Practice Location Address
First Line	:	1014 MAIN ST
Second Line	:
City	:	CRETE
State	:	IL
Zip	:	60417-1911
Country	:	US
Telephone Number	:	708-847-1002
Fax Number	:	708-847-1004

Authorized Official
Title or Position	:	OWNER
Name	:	WILLIAM J BRAMLETT
Credential	:
Telephone Number	:	773-507-4695

Provider Enumeration Date	:	04/28/2025
Last Update Date	:	04/28/2025

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Directions to “RADIUS FOUNDATION, INC. ” Practice Location

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