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Contact Information

PAM RADTKE, DT
1306 WABASH AVE
BELLEVILLE, IL62220-3370
 Phone: 618-234-6876
 Fax: 618-234-6150
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Specialist/Technologist

225500000X
 

Rehabilitation Practitioner

225400000X
Indicates primary specialty

NPI Profile & details for PAM RADTKE · (Female)

NPI Number 1184783607
Status Active
Credentials DT
Entity Individual
Enumeration date 12/08/2006
Last updated 09/11/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers Not Available
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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