Individual
DR. EVALDAS RADZEVICIUS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14315 108TH AVE, STE 215, ORLAND PARK, IL 60467-5701
(708) 966-0993
(708) 966-0997
Mailing address
14315 108TH AVE, STE 215, ORLAND PARK, IL 60467-5701
(708) 966-0993
(708) 966-0997
Taxonomy
Speciality
Code
Description
License number
State
103TF0000X
Family Psychologist
24217
AL
2084P0800X
Psychiatry Physician
Primary
036126035
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
009984865
—
AL
05
—
036126035
—
IL
01
—
K377
MEDICARE GROUP
AL
01
—
P00358766
MEDICARE ID
AL
Enumeration date
09/14/2005
Last updated
05/12/2020
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