Radzinski, Jeanine Modesta

Radzinski, Jeanine Modesta is an sole proprietor health care provider with primary practice located at 1522 Beach Ave , La Grange Park IL 60526-1247. She recently has only one registered license in Nursing Service Providers / Registered Nurse, which is considered as her primary health care specialty. Radzinski, Jeanine Modesta can be contacted via phone (708) 715-4015.

Contact Information

Primary practice address
1522 Beach Ave La Grange Park IL 60526-1247
Phone: (708) 715-4015
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Nursing Service Providers / Registered Nurse 163W00000X 041.289998 Illinois

Profile Details

NPI number 1609424662
LBN Legal business name Radzinski, Jeanine Modesta
Credentials Registered Nurse (RN)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Sep 3rd, 2019
Last updated Sep 3rd, 2019 - about 5 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 1609424662 NPPES
Illinois Other 041.289998 RN LICENSE

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