Unknown Individual – Psychiatry Physician, NPI 1073647467
Psychiatry Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
1401 LAKEWOOD DR
SUITE A
MORRIS, IL 604503352
Phone: (815) 942-6323
Fax: (815) 942-6423
Mailing address matches the actual address.
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 60450)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IN | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
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| - | AZ | |
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| - | WI | |
| - | IL |
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