Mrs. Jeanette Marie Radzak
Nurse Practitioner - Adult Health
5th Ave And Roosevelt Road
Hines
, Illinois 60141
Mrs. Jeanette Marie Radzak
Nurse Practitioner - Adult Health
5th Ave And Roosevelt Road
Hines
, Illinois 60141
(630) 833-0536
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About
Features
Specialties
- Nurse Practitioner - Adult Health
Languages spoken
- English
Location
First Address
- Mrs. Jeanette Marie Radzak
- 361 E Yorkfield Ave
- Elmhurst, IL
- Zip : 60126-5305
- Phone : (630) 833-0536
Second Address
- Mrs. Jeanette Marie Radzak
- 5th Ave And Roosevelt Road
- Hines, IL
- Zip : 60141
- Phone : (708) 202-2459
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 363LA2200X | Nurse Practitioner - Adult Health | 20900152 | IL |
National Provider Identifier
| NPI | 1023070521 |
|---|---|
| Provider Name | Mrs. Jeanette Marie Radzak |
| First Address | Elmhurst, IL 60126-5305 |
| Second Address | Hines, IL 60141 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 03/04/2006 |
| Last Update Date | 09/08/2013 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.