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Active NPI 1760729339 Individual Practitioner Male Practitioner

Dr. Kermit Radke , DMD

Dentist - Endodontics • Gurnee, IL

Professional Overview & Biography Verified Profile Summary

Dr. Kermit Radke, DMD is a registered healthcare professional specializing in Dentist - Endodontics in Gurnee, IL. Practice services are available at 4165 OLD GRAND AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

4165 Old Grand Ave

Gurnee, IL 600312774

Telephone 8476234910
Fax 8476236054
Associated Practice Facility / Clinic
🏢 North Suburban Endodontics Pc Facility NPI 1932322021

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - Endodontics in Gurnee, IL

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 10.2 Yrs
Regional Practice Density
3 Specialists

Practicing in Gurnee, IL (222 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - Endodontics Primary Specialty

NUCC Taxonomy Code: 1223E0200X

State License IL 021001688

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

2 Associated Practitioners
NPI 1265696710

Doctor of Dental Surgery

NPI 1285079798

Doctor of Dental Surgery

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active January 15, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location January 15, 2013

Registered at 4165 OLD GRAND AVE, GURNEE, IL 600312774 (Tel: 8476234910)

📍
Updated Business Mailing Address January 15, 2013

Registered at 4165 OLD GRAND AVE, GURNEE, IL 600312774 (Tel: 8476234910)

👤
Provider Name / Credentials Updated January 15, 2013

Recorded as KERMIT RADKE, DMD

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) January 15, 2013

Dentist (License #021001688 in IL)

🟢
Initial NPI Registration & Enumeration January 15, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1760729339
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: January 15, 2013
Last Update: January 15, 2013
Sole Proprietor: Yes

Mailing Address

4165 Old Grand Ave

Gurnee, IL 600312774

Phone: 8476234910

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.