SearchIllinoisPhysician Assistant

Haley Radev

NPI 1801752209 · on the registry since 2025

Practice

Address
300 Riverside Dr Ste 2700
Bourbonnais, IL 60914
Phone
(779) 701-2762
Organisation at this address
Keith A. Moss, M.D., Sc
Riverside Ambulatory Surgery Center, Llc
Inferred from a shared address, not stated in the registry.
Clinicians at this address
6

Registry record

Primary taxonomy
Physician Assistant
363A00000X
Licence states on file
IL
From the registry's licence fields, which are often incomplete.
Sex
Female
Record last updated
2026-03-20

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