Individual
ALIA D. RADZIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1800 N HERMITAGE AVE, CHICAGO, IL 60622-1161
(224) 509-0945
Mailing address
1717 RAND RD, DES PLAINES, IL 60016-3509
(847) 376-2117
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
362170821
—
IL
Enumeration date
09/16/2021
Last updated
09/16/2021
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