Radawski, Jeffrey D
Radawski, Jeffrey D is an individual health care provider with primary practice located at 3535 N Bell School Rd , Rockford IL 61114-6624. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Radiation Oncology, Allopathic & Osteopathic Physicians / Surgery. Allopathic & Osteopathic Physicians / Radiation Oncology is his primary health care specialty. Radawski, Jeffrey D can be contacted via phone (779) 696-9400.Contact Information
Primary practice address
3535 N Bell School Rd
Rockford IL 61114-6624
Phone: (779) 696-9400
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 036168582 | Illinois |
Allopathic & Osteopathic Physicians / Radiation Oncology | 2085R0001X | 57.013354 | Ohio |
Allopathic & Osteopathic Physicians / Surgery | 208600000X | 57.013354 | Ohio |
Profile Details
NPI number | 1750557047 |
---|---|
LBN Legal business name | Radawski, Jeffrey D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | May 6th, 2008 |
Last updated | Apr 23rd, 2024 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750557047 | NPPES |
Michigan | MEDICAID | 1750557047 | |
Michigan | Other | 1588778484 |
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