Radtke, Susan Marie

Radtke, Susan Marie is an sole proprietor health care provider with primary practice located at 11952 South Harlem Ave Suite 200 B, Palos Heights IL 60463-1167. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Radtke, Susan Marie can be contacted via phone (708) 361-5100.

Contact Information

Primary practice address
11952 South Harlem Ave Suite 200 B Palos Heights IL 60463-1167
Phone: (708) 361-5100
Fax: (708) 361-5222
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 103TC0700X Illinois

Profile Details

NPI number 1326067331
LBN Legal business name Radtke, Susan Marie
Credentials PH.D.
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 19th, 2006
Last updated Jul 8th, 2007 - about 18 years 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 1326067331 NPPES
Illinois Other 01632203 BLUE CROSS/BLUE SHIELD ID

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