Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1073507208
Physical Medicine & Rehabilitation Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
8301 RELIABLE PKWY
CHICAGO, IL 606860083
Phone: (586) 498-2400
Fax: (586) 498-2800
Type: Mailing
25311, Little Mack Avenue, Saint Clair Shores, Macomb County, Michigan, 48081, United States
STE B
ST CLAIR SHORES, MI 480813370
Phone: (586) 498-2400
Fax: (586) 498-2800
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 60686)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PHYSICAL MEDICINE AND REHABILITATIO | MI | 20610 | Aspiration and/or injection of large joint or joint capsule | 35 | 25 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physical Medicine And Rehabilitation | IL | |
| Nurse Practitioner | MI | |
| Anesthesiology, Pain Management | MI | |
| Physical Medicine And Rehabilitation | MI | |
| Physical Medicine And Rehabilitation | IL | |
| - | MI | |
| Physical Medicine And Rehabilitation | IL | |
| Physical Medicine And Rehabilitation | TX |
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