Individual
JILLIAN RADECKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
APRN
Contact information
Practice address
9555 S 52ND AVE, OAK LAWN, IL 60453-3054
(708) 634-0950
(708) 634-0942
Mailing address
29373 NETWORK PL, CHICAGO, IL 60673-1293
(847) 390-5900
(847) 390-4757
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041452248
IL
363LF0000X
Family Nurse Practitioner
Primary
209.026461
IL
Other
Enumeration date
11/04/2022
Last updated
02/16/2023
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