Individual provider · Type 1 NPI

Robert William Radtke Iii, PA-C

Physician Assistant · Chicago, IL

NPI number 1619512019 Active

Practice location

2418 N Ashland Ave
Chicago, IL 60614-2021

Fax (773) 799-8045

Mailing address

2400 N Ashland Ave Ste 150
Chicago, IL 60614-0851

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085.007240 (IL)

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1619512019

Robert William Radtke Iii, PA-C's National Provider Identifier is 1619512019, issued on Nov 10, 2019. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Chicago, IL. The record was last updated on Feb 11, 2026.