MEDICARE: MR. ROBERT WILLIAM RADTKE III PA-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363A00000X	Physician Assistant	085.007240	IL

General Provider Information

NPI Number	:	1619512019
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ROBERT WILLIAM RADTKE III PA-C

Provider Business Mailing Address
First Line	:	2400 N ASHLAND AVE STE 150
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-0851
Country	:	US
Telephone Number	:	773-270-5600
Fax Number	:	773-360-7378

Provider Business Practice Location Address
First Line	:	2418 N ASHLAND AVE
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60614-2021
Country	:	US
Telephone Number	:	773-900-8330
Fax Number	:	773-799-8045

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/10/2019
Last Update Date	:	02/11/2026

Similar Medicare Providers

1306831938 — JOHN THE BAPTIST HOUSTON MD
Practice Location Address:

2400 N ASHLAND AVE , SUITE 200
CHICAGO, IL
60614-2021

Practice Phone: 312-632-0032
Practice Fax: 773-409-5089

1366554206 — OP PHCY SVS INC
Practice Location Address:

2400 N ASHLAND AVE
CHICAGO, IL
60614-2021

Practice Phone: 773-472-7467
Practice Fax: 773-472-0390

1346521770 — JAYME L SIBLEY PA-C
Practice Location Address:

2400 N ASHLAND AVE
CHICAGO, IL
60614-2021

Practice Phone: 773-270-5600
Practice Fax: 773-360-7378

1194067298 — DR. MANAN CHETAN TRIVEDI MD
Practice Location Address:

2400 N ASHLAND AVE STE 150
CHICAGO, IL
60614-2021

Practice Phone: 773-270-5600
Practice Fax:

1790110666 — JENNA MICHELLE BENOIT PA-C
Practice Location Address:

2400 N ASHLAND AVE
CHICAGO, IL
60614-2021

Practice Phone: 773-270-5600
Practice Fax: 773-360-7378

1104237114 — INNOVATIVE EXPRESS CARE, SC
Practice Location Address:

2400 N ASHLAND AVE
CHICAGO, IL
60614-2021

Practice Phone: 312-622-1062
Practice Fax:

Directions to “ MR. ROBERT WILLIAM RADTKE III PA-C” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.