Search › Illinois › 363A00000X
Robert Radtke, PA-C
NPI 1619512019 · on the registry since 2019
Practice
- Address
- 2418 N Ashland Ave
Chicago, IL 60614 - Phone
- (773) 900-8330
- Fax
- (773) 799-8045
- Organisation at this address
- Innovative Medspa Pllc
Inferred from a shared address, not stated in the registry.
- Clinicians at this address
- 3
Registry record
- Primary taxonomy
- 363A00000X
363A00000X
- Licence states on file
- IL
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2026-02-11
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