Unknown Individual – Internal Medicine Physician, NPI 1104891001
Internal Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
40, South Clay Street, Hinsdale, DuPage County, Illinois, 60521, United States
260E
HINSDALE, IL 605213257
Phone: (630) 323-3600
Fax: (630) 323-3927
Type: Location
Lind Avenue, Hillside, Proviso Township, Cook County, Illinois, 60162, United States
HILLSIDE, IL 601621538
Phone: (708) 449-3846
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $69.
Total Amount is formed as General ($69) + Research ($0) + Ownership ($0) = $69.
Last reported payment date: 2024-01-09 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($48).
Total Amount
$69
General + Research + Ownership
Payments
3
Total payment records
General Amount
$69
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-09
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Teva Pharmaceuticals USA, Inc. | $48 |
| Neurocrine BioSciences, Inc. | $22 |
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 |
|---|---|---|---|---|
| 95144 | Professional service for preparation and provision of single-dose vial of allergen | 6,396 | 37 | $0 |
| 95004 | Test for allergy using allergenic extract | 1,480 | 37 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 932 | 247 | $0 |
| 87635 | Amplifed dna or rna probe detection of severe acute respiratory syndrome coronavirus 2 (covid-19) antigen | 719 | 183 | $0 |
| 95165 | Professional service for preparation and provision of 1 or more antigens | 185 | 37 | $0 |
Insurance plans in this area (ZIP 60521)
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