| Evaldas Radzevicius P.c. | |
|
19550 Governors Hwy Suite 3700 Flossmoor IL 60422-2125 | |
| (708) 915-8600 | |
| (708) 915-8612 |
| Full Name | Evaldas Radzevicius P.c. |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 19550 Governors Hwy, Flossmoor, Illinois |
| Authorized Official Name and Position | Evaldas Radzevicius (PRESIDENT) |
| Authorized Official Contact | 7089158600 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Evaldas Radzevicius P.c. 19550 Governors Hwy Suite 3700 Flossmoor IL 60422-2125 Ph: (708) 915-8600 | Evaldas Radzevicius P.c. 19550 Governors Hwy Suite 3700 Flossmoor IL 60422-2125 Ph: (708) 915-8600 |
| NPI Number | 1952677718 |
|---|---|
| Provider Enumeration Date | 03/27/2012 |
| Last Update Date | 03/27/2012 |
| Medicare PECOS PAC ID | 1658524939 |
|---|---|
| Medicare Enrollment ID | O20130117000323 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952677718 | NPI | - | NPPES |
| 036126035 | Other | IL | STATE LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 036126035 (Illinois) | Primary |
| Provider Name | Evaldas Radzevicius |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1750376869 PECOS PAC ID: 8325014418 Enrollment ID: I20110112000774 |
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