Individual provider · Type 1 NPI

Haley Rose Radev

Physician Assistant · Bourbonnais, IL

NPI number 1801752209 Active

Practice location

300 Riverside Dr Ste 2700
Bourbonnais, IL 60914-5071

Call (779) 701-2762 Map

Mailing address

350 N Wall St
Kankakee, IL 60901-2901

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X085011853 (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 1801752209

Haley Rose Radev's National Provider Identifier is 1801752209, issued on Dec 29, 2025. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Bourbonnais, IL. The record was last updated on Mar 20, 2026.