Individual
RICHARD RADOSTITS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
HIS
Contact information
Practice address
1415 E STATE ST, ROCKFORD, IL 61104-2333
(815) 964-3131
Mailing address
1415 E STATE ST, ROCKFORD, IL 61104-2333
(815) 964-3131
Taxonomy
Speciality
Code
Description
License number
State
237700000X
Hearing Instrument Specialist
1373
WI
237700000X
Hearing Instrument Specialist
Primary
3064
IL
Other
Enumeration date
01/08/2013
Last updated
01/08/2013
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