Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
RADICAL ROOTS CLINIC LLC
Active OrganizationRADICAL ROOTS CLINIC LLC is a Nurse Practitioner organization located in ARTHUR, Illinois. NPI 1629737150 is currently active in the NPPES registry. Verify at CMS.
Nurse Practitioner · ARTHUR, IL
Registration Details
- NPI Number
- 1629737150
- Provider Type
- Organization
- NPI Issued
- Dec 13, 2021 (4.6833534698611 yrs)
- Last Updated
- May 30, 2022
Practice Information
- Address
-
2046 JONATHAN CREEK RDARTHUR, IL, 619116108Browse IL providers · Browse ZIP 61911
- Phone
- 7652671177
- Primary Specialty
-
Nurse Practitioner
363L00000X
- Additional Specialty
- Nurse Practitioner
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.