Unknown Individual – Cardiovascular Disease Physician, NPI 1033205208
Cardiovascular Disease Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Wood N’ Hog BBQ, 101, West University Avenue, Urbana, Champaign County, Illinois, 61801, United States
CHAMPAIGN, IL 618203909
Phone: (217) 366-1326
Fax: (217) 366-6106
Type: Mailing
410, East University Avenue, Champaign, Champaign County, Illinois, 61820-4355, United States
CHAMPAIGN, IL 618203827
Phone: (217) 351-7788
Fax: (217) 366-6106
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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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 61820)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 1268 | 910 |
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93458 | Insertion of catheter in left heart for imaging of blood vessels or grafts and left lower heart | 111 | 110 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Physical Therapist In Private Practice | IL | |
| Diagnostic Radiology | IN | |
| - | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Qualified Audiologist | IL | |
| - | IL | |
| Emergency Medicine | MN | |
| - | IL | |
| - | IL |
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