Frank A Radosevich MD

NPI 1073503702 - Anesthesiology - 207LP2900X

NPI Details
NPI 1073503702
Gender Male
Enumeration Date 10/25/2005
Last Updated 12/10/2013
Entity Type Individual
Active Over 11 years ago
Practice Location
8600 N STATE ROUTE 91
SUITE 250
PEORIA IL, 61615-9541, US
Phone (309) 692-5393
Fax (309) 692-2538
Business Location
8600 N STATE ROUTE 91
SUITE 250
PEORIA IL, 61615-9541, US
Phone (309) 692-5393
Fax (309) 692-2538
Toxanomy
Taxonomy Code 207LP2900X
License State Illinois
License Number 036056606
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According to our database, Dr. Frank A Radosevich MD NPI is 1073503702, taxonomy code is 207LP2900X and license number is 036056606, license state is located at Illinois. Frank A Radosevich MD physically located at 8600 N State Route 91, Peoria IL, 61615-9541. NPI Number Frank A Radosevich MD has the Individual type.

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1073503702 NPI number is provided on an as is basis without warranty of any kind. 1073503702 is maintained by the National Plan & Provider Enumeration System. The contents of Frank A Radosevich MD are for informational purposes only.