DR. KERMIT RADKE (DMD) – Endodontics, NPI 1760729339

DR. KERMIT RADKE (DMD) is a healthcare provider. based in Gurnee, Illinois. specializing in Endodontics. They hold the professional credentials DMD. They hold a License No. 021001688 (IL). The NPI Number for DR. KERMIT RADKE (DMD) is 1760729339

Main info

Male
Sole Proprietor
Name
DR. KERMIT RADKE (DMD)
NPI
1760729339
Phone
(847) 623-4910
Address
4165 OLD GRAND AVE
Enumeration Date
15 January 2013
Last Update Date
15 January 2013
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience40
Completeness75
Years active:13State licenses:1Digital endpointsOther names

Provider Addresses for DR. KERMIT RADKE (DMD)

  • 4165 OLD GRAND AVE

    GURNEE, IL 600312774

    Phone: (847) 623-4910

    Fax: (847) 623-6054

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

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Medicare Enrollment & Revalidation

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Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2016-10-13

PECOS data refreshed: 2026-05-27

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Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60031)

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Reviews

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Frequently asked questions

What number should I use to identify DR. KERMIT RADKE (DMD) for billing?
Administrative and clinical systems typically use NPI 1760729339 for DR. KERMIT RADKE (DMD).
Is DR. KERMIT RADKE (DMD)'s NPI status active today?
Active status means DR. KERMIT RADKE (DMD)'s NPI record is not deactivated in the public file.
What services align with DR. KERMIT RADKE (DMD)'s listing?
DR. KERMIT RADKE (DMD)'s public classification highlights Endodontics. Clinical services aligned with this taxonomy classification.
What geographic area is tied to DR. KERMIT RADKE (DMD)?
DR. KERMIT RADKE (DMD) is associated with Gurnee, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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