Search › Wisconsin › 363LA2200X
Carol Radovich, NP
NPI 1578511739 · on the registry since 2006 · sole proprietor
Practice
- Address
- W197n17054 Stonewall Dr
Jackson, WI 53037 - Phone
- (847) 922-9203
Additional practice sites
- 3707 Doty Rd, Woodstock, IL
Registry record
- Primary taxonomy
- 363LA2200X
363LA2200X
- Also registered as
- 363LA2200X
- Licence states on file
- IL, WI
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2019-05-01
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 Wisconsin