Susan Marie Radtke in Palos Heights - Clinical
Susan Marie Radtke - NPI 1326067331
Susan Marie Radtke is a Clinical in Palos Heights, Illinois. Susan Marie Radtke practices all healthcare services and medical treatments related to Clinical. The NPI Number for Susan Marie Radtke is 1326067331. The last update date is 2007-07-08.
Susan Marie Radtke's current location address is 11952 South Harlem Ave, Palos Heights, Illinois. You can contact this provider via phone number 7083615100 and fax number 7083615222. The mailing address for Susan Marie Radtke is 11952 South Harlem Ave, Palos Heights, Illinois. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan Marie Radtke |
|---|---|
| Address | 11952 South Harlem Ave, Palos Heights, Illinois |
| Phone Number | 7083615100 |
| Fax Number | 7083615222 |
| Sole Proprietor | Y |
| Credentials | PH.D. |
NPI Number Detail
| NPI Number | 1326067331 |
|---|---|
| Provider Enumeration Date | 2006-07-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11952 South Harlem Ave |
|---|---|
| City | Palos Heights |
| State | Illinois (IL) |
| Post Code | 604631167 |
| Phone Number | 7083615100 |
| Fax Number | 7083615222 |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 103Tc0700X |
|
Definition: A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1632203 | IL | BLUE CROSS/BLUE SHIELD ID |
Post Comment/ Review Below
What is the unique identifier code issued to Susan Marie Radtke by the Centers for Medicare & Medicaid Services (CMS)?
The Susan Marie Radtke has been assigned the NPI (National Provider Identifier) 1326067331. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Susan Marie Radtke's facilities are situated?
The facilities of Susan Marie Radtke are physically located at the following address: 11952 South Harlem Ave, Palos Heights, IL, 604631167.
What is Susan Marie Radtke's specialized field of practice, and what is the corresponding taxonomy classification code?
The Susan Marie Radtke's area of specialization is Clinical, and the corresponding taxonomy code that categorizes this field of practice is 103Tc0700X.
On what date was the 1326067331 assigned to Susan Marie Radtke?
The Susan Marie Radtke was issued its 1326067331 on 2006-07-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Susan Marie Radtke, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Susan Marie Radtke, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.