Individual
DR. ANDREW I RADOVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DDS
Contact information
Practice address
3001 6TH ST STE A, GREAT LAKES, IL 60088-2833
(847) 688-2100
Mailing address
3001 6TH ST STE A, GREAT LAKES, IL 60088-2833
(847) 688-2100
(847) 688-5995
Taxonomy
Speciality
Code
Description
License number
State
1223S0112X
Oral and Maxillofacial Surgery (Dentist)
Primary
40488
CA
Other
Enumeration date
04/24/2006
Last updated
10/30/2007
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