Ann M Radke
Dental Hygienist in Orland Park, IL. Individual provider (NPI-1).
NPI number1124374012
StatusActive
Last updated in NPPESJul 28, 2012
Details
- NPI
- 1124374012
- Entity type
- Individual (NPI-1)
- Name
- Ann M Radke
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jul 28, 2012
- Last updated
- Jul 28, 2012
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 124Q00000X | Dental Hygienist | 020014035 | IL | Yes |
Practice location
13710 Mayflower LnOrland Park, IL 60467-7618
Phone 708-207-9012
Mailing address
13710 Mayflower LnOrland Park, IL 60467-7618
Phone 708-207-9012
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