Unknown Individual – Specialist, NPI 1013919976
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1790, Nations Drive, Gurnee, Lake, Illinois, 60031, United States
SUITE 102
GURNEE, IL 600319164
Phone: (847) 662-4455
Fax: (847) 662-9940
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)
CMS reports 33 Open Payments records for all available years, with a total value of $696.
Total Amount is formed as General ($696) + Research ($0) + Ownership ($0) = $696.
Last reported payment date: 2023-11-30 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($201).
Total Amount
$696
General + Research + Ownership
Payments
33
Total payment records
General Amount
$696
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-30
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| GlaxoSmithKline, LLC. | $201 |
| Mylan Specialty L.P. | $143 |
| kaleo, Inc. | $79 |
| Boehringer Ingelheim Pharmaceuticals, Inc. | $61 |
| Genentech USA, Inc. | $46 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 95165 | Professional service for preparation and provision of 1 or more antigens | 2,163 | 139 | $0 |
| 95117 | Professional service for multiple injections of allergen | 1,942 | 168 | $0 |
| 95004 | Test for allergy using allergenic extract | 1,624 | 29 | $0 |
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 205 | 127 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 131 | 76 | $0 |
Insurance plans in this area (ZIP 60031)
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Provider's Procedures
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