Individual
DR. JONATHAN MICHAEL RADOSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 413-3627
(312) 355-0212
Mailing address
1801 W TAYLOR ST, CHICAGO, IL 60612-4795
(312) 413-3627
(312) 355-0212
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
036.118452
IL
Other
Enumeration date
05/29/2007
Last updated
11/22/2023
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