Provider Demographics
NPI:1710775044
Name:RADIUS FOUNDATION, INC.
Entity type:Organization
Organization Name:RADIUS FOUNDATION, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:J
Authorized Official - Last Name:BRAMLETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:773-507-4695
Mailing Address - Street 1:11952 S HARLEM AVE STE 100
Mailing Address - Street 2:
Mailing Address - City:PALOS HEIGHTS
Mailing Address - State:IL
Mailing Address - Zip Code:60463-1386
Mailing Address - Country:US
Mailing Address - Phone:708-923-0800
Mailing Address - Fax:708-923-0800
Practice Address - Street 1:1014 MAIN ST
Practice Address - Street 2:
Practice Address - City:CRETE
Practice Address - State:IL
Practice Address - Zip Code:60417-1911
Practice Address - Country:US
Practice Address - Phone:708-847-1002
Practice Address - Fax:708-847-1004
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:RADIUS FOUNDATION, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-04-28
Last Update Date:2025-04-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM2800XAmbulatory Health Care FacilitiesClinic/CenterMethadone
No261QR0405XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation, Substance Use Disorder
No103K00000XBehavioral Health & Social Service ProvidersBehavior AnalystGroup - Multi-Specialty