Unknown Individual – Family Medicine Physician, NPI 1073589461
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
1860 PAYSPHERE CIR
CHICAGO, IL 606740018
Phone: (630) 469-9200
Type: Mailing
801, North Cass Avenue, Westmont, DuPage County, Illinois, 60559, United States
STE 300
WESTMONT, IL 60559
Phone: (630) 963-6565
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 36 Open Payments records for all available years, with a total value of $734.
Total Amount is formed as General ($734) + Research ($0) + Ownership ($0) = $734.
Last reported payment date: 2023-11-06 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($94).
Total Amount
$734
General + Research + Ownership
Payments
36
Total payment records
General Amount
$734
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-06
Latest reported date
Top Companies
Largest payers in this snapshot
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.
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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 |
|---|---|---|---|---|
| 36415 | Insertion of needle into vein for collection of blood sample | 81 | 70 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 73 | 73 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 69 | 65 | $0 |
| 83036 | Hemoglobin a1c level | 65 | 52 | $0 |
| 80061 | Blood test, lipids (cholesterol and triglycerides) | 56 | 53 | $0 |
Insurance plans in this area (ZIP 60674)
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Provider's Procedures
Group practice members
- 1
- 2
- 3
| Name | Specialty | State |
|---|---|---|
| E N D O C R I N O L O G Y | IL | |
| Physician Assistant | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Physical Therapist In Private Practice | IL |
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