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:
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Health care specialties

SpecialtyCodeLicense #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 5 months ago

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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750557047 NPPES
Michigan MEDICAID 1750557047
Michigan Other 1588778484

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