Provider Demographics
NPI:1689137184
Name:RADZIK, BARTLOMIEJ LUKASZ (MD)
Entity Type:Individual
Prefix:DR
First Name:BARTLOMIEJ
Middle Name:LUKASZ
Last Name:RADZIK
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4132 N OLCOTT AVE
Mailing Address - Street 2:
Mailing Address - City:NORRIDGE
Mailing Address - State:IL
Mailing Address - Zip Code:60706-1111
Mailing Address - Country:US
Mailing Address - Phone:708-408-3574
Mailing Address - Fax:
Practice Address - Street 1:840 S. WOOD ST.
Practice Address - Street 2:SUITE 130 CSN
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60612
Practice Address - Country:US
Practice Address - Phone:312-996-7312
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-11
Last Update Date:2019-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL125074712207ZP0102X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ZP0102XAllopathic & Osteopathic PhysiciansPathologyAnatomic Pathology & Clinical Pathology