Whalio Doctors

NPI 1073503702

Frank a Radosevich, MD

Practitioner Anesthesiology Physician Peoria, IL

Practice location

Address
8600 N State Route 91 Suite 250, Peoria, IL 61615-9541
Phone
(309) 692-5393
Fax
(309) 692-2538

Registered specialties (3)

Anesthesiology Physician Primary
Allopathic & Osteopathic Physicians Taxonomy 207L00000X Licence 036056606 (IL)
Pain Medicine (Anesthesiology) Physician
Allopathic & Osteopathic Physicians Taxonomy 207LP2900X Licence 036056606 (IL)
Family Medicine Physician
Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 036056606 (IL)

Registry record

NPI
1073503702
Entity type
Individual
Sex (as registered)
Male
NPI issued
25 Oct 2005
Record last updated
10 Dec 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.