Individual
HALEY ROSE RADEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
300 RIVERSIDE DR STE 2700, BOURBONNAIS, IL 60914-5071
(779) 701-2762
Mailing address
350 N WALL ST, KANKAKEE, IL 60901-2901
(815) 935-7347
(815) 936-6971
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
085011853
IL
Other
Enumeration date
12/29/2025
Last updated
03/20/2026
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