Radical Roots Clinic Llc

Nurse Practitioner · Arthur, IL

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At a glance

2046 Jonathan Creek Rd, Arthur, IL 61911-6108

NPPES record updated May 30, 2022. Public records can lag behind changes at a practice.

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  • Are you accepting new patients?
  • Do you accept my specific insurance plan?
  • Do you provide the service I need at this address?
  • Do I need a referral, and what is the earliest appointment?

Insurance participation and appointment availability are not established by these public records.

Practice location

2046 Jonathan Creek Rd
Arthur, IL 61911-6108
Professional details: NPI, taxonomy & registry record
NPI1629737150
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Registry details

Primary taxonomy
Nurse Practitioner
Taxonomy code
363L00000X
Enumeration date
Dec 13, 2021
Record updated
May 30, 2022
More registry details
Provider type
Organization · Type 2

Reported taxonomies and licenses

Specialty details in registry

104100000X

Nurse Practitioner

363L00000X · Primary

License numbers and credentials are reported to NPPES; HCPList does not independently verify them.

Practice location

2046 Jonathan Creek Rd
Arthur, IL 61911-6108
Phone
(765) 267-1177
Mailing address
2046 JONATHAN CREEK RD

ARTHUR, IL 619116108
Source: NPPES Source through Oct 18, 2026An NPI does not verify licensure or credentials.

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