Individual provider Active NPI

Susan Marie Radtke, PH.D.

  • Clinical Psychologist
  • Burr Ridge, IL
National Provider Identifier
1326067331
Registry record updated Nov 20, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
071006342 Issued in IL
Practice address
8581 Dolfor CV
Burr Ridge, IL 60527-8350
Phone
(630) 740-7983
Fax
(630) 323-5304
NPI assigned
Jul 19, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 20, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Psychologist 103TC0700X 071006342 IL Primary

Addresses

Primary practice location

8581 Dolfor CV
Burr Ridge, IL 60527-8350

Mailing address

8581 Dolfor CV
Burr Ridge, IL 60527-8350
Phone (630) 740-7983

Other identifiers 2

IdentifierTypeStateIssuer
01-0637807OtherILFEDERAL TAX ID
01632203OtherILBLUE CROSS/BLUE SHIELD ID

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070124000022 IL Practitioner - Clinical Psychologist 9638170335 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

9944 S Roberts Rd
Suite 205
Palos Hills, IL 60465-1558
Phone (708) 598-7500

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
071006342ILMDClinical Psychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Dr. Susan M. Radtke, P.C. CurrentSince Feb 20, 2002 Accepting new patients

Locations

11952 S Harlem Ave
Ste 200B
Palos Heights, IL 60463
Phone (708) 361-5100

9944 S Roberts Rd
Palos Hills, IL 60465
Phone (708) 581-3920

9944 S Roberts Rd
Ste 205
Palos Hills, IL 60465
Phone (708) 436-3919

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153267200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763596800000",
    "number": "1326067331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8581 DOLFOR CV",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278350",
            "telephone_number": "630-740-7983",
            "fax_number": "630-323-5304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8581 DOLFOR CV",
            "city": "BURR RIDGE",
            "state": "IL",
            "postal_code": "605278350",
            "telephone_number": "630-740-7983",
            "fax_number": "630-323-5304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RADTKE",
        "first_name": "SUSAN",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-07-19",
        "last_updated": "2025-11-20",
        "certification_date": "2025-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "IL",
            "license": "071006342",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FEDERAL TAX ID",
            "identifier": "01-0637807",
            "state": "IL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS/BLUE SHIELD ID",
            "identifier": "01632203",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burr Ridge, IL

Sources for this page

Verify at the official NPI Registry.