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DR. ANDREW I RADOVAN DDS
NPI 1548226111
Dentist - Oral and Maxillofacial Surgery in Great Lakes, IL

Active since April 24, 2006PECOS Enrolled
3001 6TH ST STE A, GREAT LAKES, IL 60088(847) 688-2100 Get Directions Write a Review

NPPES record last updated: October 30, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Andrew I Radovan Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. ANDREW I RADOVAN DDS (NPI 1548226111) is an individual oral and maxillofacial surgery provider in Great Lakes, Illinois, licensed in California (40488) and active in the NPI registry since April 2006. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1548226111
Entity TypeIndividualMale
Primary Taxonomy1223S0112X
Provider Legal NameDR. ANDREW I RADOVANCredential: DDS
Location Address3001 6TH ST STE AGreat Lakes, IL 60088-2833
Mailing Address3001 6th St Ste AGreat Lakes, IL 60088-2833 · (847) 688-2100 · Fax (847) 688-5995
Phone(847) 688-2100
Sole ProprietorNo
Enumeration DateApril 24, 2006
Last NPPES UpdateOctober 30, 2007
✔ NPI 1548226111 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 40488
Definition
An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
3001 6TH ST STE A, Great Lakes, IL 60088
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Andrew I Radovan Dds is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer– Part B Labs & Imaging✔ Durable Medical Equipment– Home Health Agency– Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 60088 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$93.02 typical visit price
range $59.81 – $181.38
Typical copayment $23.25 (range $14.95 – $45.34)
Most-billed visit code 99203
Established Patient
$74.38 typical visit price
range $19.15 – $147.12
Typical copayment $18.59 (range $4.78 – $36.78)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. CAROLYN F. ANDREWS PH. D.
Psychologist (Clinical)
3001 6TH ST STE A, NAVAL HEALTH CLINIC, BLDG 200-H 9-N MENTAL HEALTH CNTR
GREAT LAKES, IL 60088
Lake County (847) 688-2221
PROF. DAVID AARON GALVAN IDC
Military Health Care Provider (Independent Duty Corpsman)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Lake County (847) 688-7005
MR. MICHAEL ZENZ M.A.
Audiologist
3001 6TH ST STE A
GREAT LAKES, IL 60088
Lake County (847) 688-4533
CHRISTOPHER E VERZOSA D.D.S.
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Lake County (847) 688-3331
MRS. SHERRI LYNN KENIG
Social Worker (Clinical)
3001 6TH ST STE A, NAVAL HEALTH CLINIC MENTAL HEALTH
GREAT LAKES, IL 60088
Lake County (847) 688-3607
DR. JASON P THEOBALD DDS
Dentist (General Practice)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Lake County (847) 688-2100
NBHC NCTC GREAT LAKES
Clinic/Center (Military/U.S. Coast Guard Outpatient)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Lake County (847) 688-4560
MR. RAYMOND LAWRENCE HOWARD SR.
Military Health Care Provider (Independent Duty Corpsman)
3001 6TH ST STE A
GREAT LAKES, IL 60088
Lake County (847) 688-6755

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Andrew Radovan's NPI number?

The NPI number for Andrew Radovan is 1548226111. It was assigned to this individual provider in the NPPES registry on April 24, 2006.

Where is Andrew Radovan located?

Andrew Radovan practices at 3001 6th St Ste A, Great Lakes, IL 60088. The listed phone number is (847) 688-2100.

What is Andrew Radovan's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

Is Andrew Radovan enrolled in Medicare?

Yes. Andrew Radovan is registered in the Medicare PECOS enrollment system.

What insurance does Andrew Radovan accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Alabama, Blue Cross and Blue Shield of Montana and Blue Cross and Blue Shield of Oklahoma and 11 other insurers list Andrew Radovan as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Andrew Radovan was last updated on October 30, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.