Individual ProviderMiroslawa RadzikNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address701 Lee St Ste 150, Des Plaines, IL 60016-4554(224) 985-1214PECOS EnrollmentBased on the most recent information from CMS, provider Miroslawa Radzik is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1518767672Provider TypeIndividualFull NameRadzik, MiroslawaCredentialAPRNGenderFemaleSole ProprietorYesEnumeration Date3/18/2025Last Updated3/20/2025Contact InformationPractice LocationPractice Address701 Lee St Ste 150, Des Plaines, IL 60016-4554Phone(224) 985-1214Fax(224) 285-1214Mailing LocationMailing Address701 Lee St Ste 150, Des Plaines, IL 60016-4554Phone(224) 985-1214Fax(224) 285-1214Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209031625Illinois