Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Dr. Michael Louis Radzienda, MD

Individual provider Family Medicine Physician · NPI 1457342610

Dr. Michael Louis Radzienda, MD is an Internal Medicine in Glenwood, Illinois. Qualified in 1995, 31 years ago. Practices with Pmr Illinois Holding LLC, a 12-clinician group and accepts Medicare assignment. Licensed in Illinois, Indiana and Wisconsin.

Years since qualifying
31
Licensed in
IL, IN, WI
In the registry since
2005
Specialties on file
3
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

19310 S Halsted St
Glenwood, IL 60425-1562
Phone: (708) 300-3132
Fax: (773) 790-4034
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Internal Medicine Physician (primary) Taxonomy 207R00000X · Licence 036095779 (IL)
Family Medicine Physician Taxonomy 207Q00000X · Licence 01060676A (IN)
Internal Medicine Physician Taxonomy 207R00000X · Licence 50075 (WI)

Record details

NPI number1457342610
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorNo
NPI enumeratedNovember 4, 2005
Last updated in NPPESNovember 26, 2024
Certification dateNovember 26, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyINTERNAL MEDICINE
Medical schoolOTHER
Graduated 1995 (31 years in practice)
Group practice Pmr Illinois Holding Llc — 12 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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