| NPI | 1932322021 |
|---|---|
| Doing Business As | DR KERMIT RADKE |
| Entity Type | Organization |
| Authorized Contact | KERMIT MASON RADKE Endodontist Owner 847-623-4910 |
| Organization Subpart ? | No |
| Primary Taxonomy | 1223E0200X Dentist, Endodontics (Licence: IL 021001688) |
| Enumeration Date | 2007-04-10 |
| Last Update Date | 2020-08-22 |