Provider Demographics
NPI:1891901062
Name:RADFORD, ROSEMARY MISOOK (DPT)
Entity Type:Individual
Prefix:
First Name:ROSEMARY
Middle Name:MISOOK
Last Name:RADFORD
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:119 S EMERSON ST
Mailing Address - Street 2:SUITE 186
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-3219
Mailing Address - Country:US
Mailing Address - Phone:847-481-6077
Mailing Address - Fax:847-929-9036
Practice Address - Street 1:1614 W CENTRAL RD
Practice Address - Street 2:SUITE 208
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60005
Practice Address - Country:US
Practice Address - Phone:847-481-6077
Practice Address - Fax:847-929-9036
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-15
Last Update Date:2018-06-28
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
IL070.011135225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist