Individual
FILIP BORISOVICH RADEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
319 E MADISON ST FL 3, SPRINGFIELD, IL 62701-1035
(217) 545-8229
(217) 545-2275
Mailing address
PO BOX 19642, SPRINGFIELD, IL 62794-9642
(217) 545-8229
(217) 545-2275
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
125080665
IL
2084P0800X
Psychiatry Physician
Primary
125080665
IL
Other
Enumeration date
06/22/2022
Last updated
06/23/2022
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