Radzevicius, Evaldas
Radzevicius, Evaldas is an individual health care provider with primary practice located at 14315 108Th Ave Ste 215, Orland Park IL 60467-5701. He recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Family, Allopathic & Osteopathic Physicians / Psychiatry. Allopathic & Osteopathic Physicians / Psychiatry is his primary health care specialty. Radzevicius, Evaldas can be contacted via phone (708) 966-0993.Contact Information
Primary practice address
14315 108Th Ave Ste 215
Orland Park IL 60467-5701
Phone: (708) 966-0993
Fax: (708) 966-0997
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Family | 103TF0000X | 24217 | Alabama |
Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 036126035 | Illinois |
Profile Details
NPI number | 1750376869 |
---|---|
LBN Legal business name | Radzevicius, Evaldas |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Sep 14th, 2005 |
Last updated | May 12th, 2020 - about 4 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1750376869 | NPPES |
Alabama | MEDICAID | 009984865 | |
Alabama | Other | P00358766 | |
Alabama | MEDICAID | 036126035 | |
Alabama | Other | K377 |
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