SearchIllinois207R00000X

Michael Radzienda, M.D

NPI 1457342610 · on the registry since 2005

Practice

Address
19310 S Halsted St
Glenwood, IL 60425
Phone
(708) 300-3132
Fax
(773) 790-4034
Organisation at this address
Jencare Neighborhood Medical Center Glenwood, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
8

Registry record

Primary taxonomy
207R00000X
207R00000X
Also registered as
207Q00000X
207R00000X
Licence states on file
IN, WI, IL
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2024-11-26

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois