Unknown Individual – Cardiovascular Disease Physician, NPI 1154377513
Cardiovascular Disease Physician
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Provider Addresses for Unknown Individual
Bormet Drive, Mokena, Will County, Illinois, 60448, United States
MOKENA, IL 604488399
Phone: (708) 346-4044
Fax: (708) 346-3287
Type: Mailing
West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
OAK LAWN, IL 604533372
Phone: (708) 346-4040
Fax: (708) 346-3287
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 60448)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERVENTIONAL CARDIOLOGY | IL | 92928 | Catheter insertion of stents in major coronary artery or branch, accessed through the skin | 22 | 18 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | CA | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Physician Assistant | IL | |
| Thoracic Surgery, Cardiac Surgery | IL | |
| Thoracic Surgery, Cardiac Surgery, General Surgery | IL | |
| Nurse Practitioner | IL | |
| Cardiac Surgery, Thoracic Surgery | NC | |
| Certified Clinical Nurse Specialist (Cns) | IL | |
| Thoracic Surgery | IL |
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