Healthcare Provider Details

I. General information

NPI: 1184559247
Provider Name (Legal Business Name): STJEPAN RADELJAK
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/17/2026
Last Update Date: 06/17/2026
Certification Date: 06/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3593 LEE RD
SHAKER HTS OH
44120-5101
US

IV. Provider business mailing address

3366 ELSMERE RD
SHAKER HTS OH
44120-3442
US

V. Phone/Fax

Practice location:
  • Phone: 216-857-8527
  • Fax:
Mailing address:
  • Phone: 216-857-8527
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: