Unknown Individual – General Practice Physician, NPI 1033118625
General Practice Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 3008
CARBONDALE, IL 629023008
Phone: (618) 457-0450
Fax: (618) 457-7329
Type: Mailing
13245 KESSLER RD
CAIRO, IL 629143101
Phone: (618) 734-4400
Fax: (618) 734-2884
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
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Medicare Enrollment & Revalidation
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No Medicare enrollment or revalidation data available for this provider in our database.
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Medicare Utilization (FFS)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62902)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| Nurse Practitioner | MO | |
| Clinical Social Worker | IL | |
| Nurse Practitioner | IL |
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