Healthcare Provider Details

I. General information

NPI: 1710775044
Provider Name (Legal Business Name): RADIUS FOUNDATION, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/28/2025
Last Update Date: 04/28/2025
Certification Date: 04/28/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1014 MAIN ST
CRETE IL
60417-1911
US

IV. Provider business mailing address

11952 S HARLEM AVE STE 100
PALOS HEIGHTS IL
60463-1386
US

V. Phone/Fax

Practice location:
  • Phone: 708-847-1002
  • Fax: 708-847-1004
Mailing address:
  • Phone: 708-923-0800
  • Fax: 708-923-0800

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code103K00000X
TaxonomyBehavior Analyst
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code261QM2800X
TaxonomyMethadone Clinic
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QR0405X
TaxonomySubstance Use Disorder Rehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: WILLIAM J BRAMLETT
Title or Position: OWNER
Credential:
Phone: 773-507-4695