Healthcare Provider Details

I. General information

NPI: 1245151687
Provider Name (Legal Business Name): MONICA CLAUDIA RADU
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2026
Last Update Date: 07/22/2026
Certification Date: 07/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1770 1ST ST STE 400
HIGHLAND PARK IL
60035-3237
US

IV. Provider business mailing address

1438 W NORTH SHORE AVE APT 3E
CHICAGO IL
60626-6816
US

V. Phone/Fax

Practice location:
  • Phone: 312-321-0004
  • Fax:
Mailing address:
  • Phone: 773-837-3218
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225700000X
TaxonomyMassage Therapist
License Number227002003
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: