Basic Information
| Provider Information | |||||||||
| NPI: | 1689137184 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RADZIK | ||||||||
| FirstName: | BARTLOMIEJ | ||||||||
| MiddleName: | LUKASZ | ||||||||
| NamePrefix: | DR. | ||||||||
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| Credential: | MD | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4132 N OLCOTT AVE | ||||||||
| Address2: | |||||||||
| City: | NORRIDGE | ||||||||
| State: | IL | ||||||||
| PostalCode: | 607061111 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7084083574 | ||||||||
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| Practice Location | |||||||||
| Address1: | 840 S. WOOD ST. | ||||||||
| Address2: | SUITE 130 CSN | ||||||||
| City: | CHICAGO | ||||||||
| State: | IL | ||||||||
| PostalCode: | 60612 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3129967312 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 04/11/2019 | ||||||||
| LastUpdateDate: | 10/27/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207ZP0102X | 125074712 | IL | Y | Allopathic & Osteopathic Physicians | Pathology | Anatomic Pathology & Clinical Pathology |
No ID Information.