DR. MICHAEL JAMES RADTKE (NPI# 1518141365) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1518141365 |
Entity Type | Individual |
Full Name | DR. MICHAEL JAMES RADTKE |
Credential | MD |
Practice Address |
1870 W Galena Blvd Aurora IL 60506-4356 |
Practice Telephone | 6308596700 |
Mailing Telephone | 6308596800 |
Enumeration Date | 2007-12-27 |
Last Update Date | 2011-07-07 |
Gender Code | M |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207K00000X | Allergy & Immunology | 036116079 | IL | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
IL | BCBS# | 04515143 | 01 |
IL | 036116079 | 05 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1215983192 | Michael F Radtke | Physical Therapist | 3111 124th Ave Nw, Coon Rapids, MN 55433-1793 | 2006-05-25 |
Street Address |
1870 W GALENA BLVD |
City | AURORA |
State | IL |
Zip Code | 60506-4356 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1689661803 | Rosalyn S Padiyara | Pharmacist | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2005-10-03 |
1245636232 | Mary Sunde | Specialist/Technologist | 1870 W Galena Blvd, Physical Therapy, Aurora, IL 60506-4356 | 2014-11-18 |
1376787838 | Christopher A Lading | Speech-Language Pathologist | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2009-04-28 |
1306090303 | Cynthia D. Hildner | Speech-Language Pathologist | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-11-05 |
1841449451 | Padmaja Gutti | Psychiatry & Neurology | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-09-18 |
1922268812 | Betsy J Bennet | Internal Medicine | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-06-13 |
1659558203 | Saba Sharif | Allergy & Immunology | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-01-25 |
1083897888 | Vivien T Ho | Family Medicine | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2007-12-14 |
1245422773 | Kara N Roman | Physician Assistant | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2007-08-17 |
1912101866 | Jonathan E. Sachs | Internal Medicine | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2007-06-13 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225678121 | Yvette Velazquez | Non-emergency Medical Transport (VAN) | 1743 Plum St, Aurora, IL 60506 | 2020-01-09 |
1609420173 | Salma Hydari | Dentist | 1264 N Lake St., Aurora, IL 60506 | 2019-08-01 |
1720647092 | Tirumala Aggarwal | Dentist | Premier Dental, 1264 N Lake Street, Aurora, IL 60506 | 2019-06-11 |
1730644410 | Margaret Elizabeth Beallis | Counselor | 120 Gale St., Aurora, IL 60506 | 2019-02-06 |
1639634322 | Jordan Devera | Student in an Organized Health Care Education/Training Program | Aurora University 347 S Gladstone Ave, Pmb 729, Aurora, IL 60506 | 2019-02-06 |
1770077737 | Harriet L Miller | Registered Nurse | 1081 Emerald Dr, Aurora, IL 60506 | 2018-06-21 |
1275033516 | Lillian Antonia Villamil | Registered Nurse | 400 Mercy Lane, Aurora, IL 60506 | 2018-02-13 |
1689173676 | Ideal Medical Equipment and Supplies | Durable Medical Equipment & Medical Supplies | 1177 N Highland Ave Ste#204, Aurora, IL 60506 | 2018-02-06 |
1417465535 | Aaron Downing | Counselor | 525 N. Edgelawn Ave, Aurora, IL 60506 | 2018-01-11 |
1942739222 | Jessica Toma | Pharmacist | 1952 W Galena Blvd, Aurora, IL 60506 | 2017-06-08 |
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Taxonomy Code | 207K00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Allergy & Immunology |
An allergist-immunologist is trained in evaluation, physical and laboratory diagnosis, and management of disorders involving the immune system. Selected examples of such conditions include asthma, anaphylaxis, rhinitis, eczema, and adverse reactions to drugs, foods, and insect stings as well as immune deficiency diseases (both acquired and congenital), defects in host defense, and problems related to autoimmune disease, organ transplantation, or malignancies of the immune system. |
Notes: Source: American Board of Medical Specialties, 2007, www.abms.org [7/1/2007: added definition, added source] Additional Resources: American Board of Allergy and Immunology, 2007. http://www.abai.org/ No subspecialty certificates in allergy and immunology are offered by the American Board of Allergy and Immunology (ABAI). The ABAI, however, does offer formal special pathways for physicians seeking dual certification in allergy/immunology and pediatric pulmonology; allergy/immunology and pediatric rheumatology; and allergy/immunology and adult rheumatology. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1083971246 | Anjeli Prabhu Kalra | Allergy & Immunology | 12700 E 19th Ave # B177, Aurora, CO 80045-2560 | 2012-04-12 |
1427334366 | Maureen Egan Bauer | Allergy & Immunology | 13123 East 16th Avenue Children's Hospital of Colorado, Allergy and Immunology Division, Aurora, CO 80045 | 2011-10-24 |
1649665886 | Erik Newman | Allergy & Immunology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2015-04-04 |
1972878080 | Maaria Syed | Allergy & Immunology | 4100 Healthway Dr, Aurora, IL 60504 | 2012-03-22 |
1780979112 | James Fly Jones | Allergy & Immunology | 13123 E. 16th Avenue, B518, Aurora, CO 80045-7106 | 2011-06-14 |
1124343108 | Ryan John Good | Allergy & Immunology | 13123 E 16th Ave, Aurora, CO 80045-7106 | 2010-04-01 |
1134359862 | Amy O'brian Thomas | Allergy & Immunology | 2285 Sequoia Dr, Aurora, IL 60506-6209 | 2009-07-15 |
1285897728 | Newton Tak-yip Li | Allergy & Immunology | 2285 Sequoia Dr, Aurora, IL 60506 | 2008-07-04 |
1215101019 | Jenny Marie Stitt | Allergy & Immunology | 12605 E 16th Ave, Aurora, CO 80045-2545 | 2008-04-14 |
1659558203 | Saba Sharif | Allergy & Immunology | 1870 W Galena Blvd, Aurora, IL 60506-4356 | 2008-01-25 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.