NPI 1073503702
Frank a Radosevich, MD
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
Pain Medicine (Anesthesiology) Physician
Family Medicine Physician
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.