Kermit Radke, DMD

NPI 1760729339 · on the registry since 2013 · sole proprietor

Practice

Address: 4165 Old Grand Ave
Gurnee, IL 60031
Phone: (847) 623-4910
Fax: (847) 623-6054
Organisation at this address: North Suburban Endodontics Pc
Inferred from a shared address, not stated in the registry.
Clinicians at this address: 3

Registry record

Primary taxonomy: 1223E0200X
1223E0200X
Licence states on file: IL
From the registry's licence fields, which are often incomplete.
Sex: Male
Record last updated: 2013-01-15

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