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Organization
DR. SUSAN M. RADTKE, P.C.
Active
Organization
DR. SUSAN M. RADTKE, P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN MARIE RADTKE PH.D. (PRESIDENT AND CLINICAL PSYCHOLOGIST)
(630) 740-7983
Entity
Organization
Contact information
Practice address
8581 DOLFOR CV, BURR RIDGE, IL 60527-8350
(630) 740-7983
(630) 323-5304
Mailing address
8581 DOLFOR CV, BURR RIDGE, IL 60527-8350
(630) 740-7983
(630) 323-5304
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
071006342
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01632203
BLUE CROSS PROVIDER
IL
01
—
07100632
PSYCHOLOGIST LICENSE
IL
01
—
1326067331
NPI AS INDIV. PROVIDER
IL
Enumeration date
01/08/2007
Last updated
11/20/2025
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