Unknown Individual – Critical Care Medicine (Internal Medicine) Physician, NPI 1083691984
Critical Care Medicine (Internal Medicine) Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2160 S FIRST AVE
(LUH - NORTH ENT., RM. 7604)
MAYWOOD, IL 60153
Phone: (708) 216-5402
Fax: (708) 216-1259
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)
CMS reports 1 Open Payments records for all available years, with a total value of $23.
Total Amount is formed as General ($23) + Research ($0) + Ownership ($0) = $23.
Last reported payment date: 2023-06-12 • Largest payer in this snapshot: Mylan Specialty L.P. ($23).
Total Amount
$23
General + Research + Ownership
Payments
1
Total payment records
General Amount
$23
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-06-12
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Mylan Specialty L.P. | $23 |
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.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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 |
|---|---|---|---|---|
| 94003 | Follow-up inpatient or observation ventilation assistance and management | 700 | 52 | $0 |
| 99291 | Critical care, first 30-74 minutes | 105 | 27 | $0 |
Insurance plans in this area (ZIP 60153)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| N E U R O L O G Y | IL | |
| Family Practice | IL | |
| Internal Medicine, Pediatric Medicine | IL | |
| Hospitalist, Family Practice | TX | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL |
Reviews
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