Individual
MR. ROBERT WILLIAM RADTKE III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2418 N ASHLAND AVE, CHICAGO, IL 60614-2021
(773) 900-8330
(773) 799-8045
Mailing address
2400 N ASHLAND AVE STE 150, CHICAGO, IL 60614-0851
(773) 270-5600
(773) 360-7378
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085.007240
IL
363AM0700X
Medical Physician Assistant
Primary
085.007240
IL
Other
Enumeration date
11/10/2019
Last updated
02/11/2026
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