Individual
KAREN L RADTKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
NP
Contact information
Practice address
5000 PRAIRIE ROSE DR, ROSCOE, IL 61073-7792
(815) 971-2000
Mailing address
5000 PRAIRIE ROSE DR, ROSCOE, IL 61073-7792
(815) 971-2000
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
1387
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
43937900
—
WI
Enumeration date
06/01/2007
Last updated
02/19/2010
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