Unknown Individual – Family Medicine Physician, NPI 1033381439
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
South Galena Avenue, Dixon, Lee County, Illinois, 61021, United States
DIXON, IL 610219695
Phone: (815) 288-0626
Type: Mailing
10714 S ROBERTS RD
PALOS HILLS, IL 604652314
Phone: (708) 631-1326
Type: Mailing
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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Educational use only—not medical, billing, or legal advice.
No Medicare enrollment or revalidation data available for this provider in our database.
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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 |
|---|---|---|---|---|
| 99349 | Residence visit for established patient with moderate level of medical decision making, per day, if using time, at least 40 minutes | 991 | 272 | $0 |
| 99490 | Chronic care management services, first 20 minutes of clinical staff time directed by health care professional, per calendar month | 770 | 224 | $0 |
| 99439 | Chronic care management services for two or more chronic conditions, additional 20 minutes of clinical staff time directed by health care professional, per calendar month | 650 | 217 | $0 |
| 82962 | Blood glucose (sugar) test performed by hand-held instrument | 426 | 130 | $0 |
| G0179 | Physician or allowed practitioner re-certification for medicare-covered home health services under a home health plan of care (patient not present), including contacts with home health agency and review of reports of patient status required by physicians a | 292 | 167 | $0 |
Insurance plans in this area (ZIP 61021)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL |
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