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
Fax: (708) 966-0997
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1750376869 NPPES
Alabama MEDICAID 009984865
Alabama Other P00358766
Alabama MEDICAID 036126035
Alabama Other K377

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