Unknown Individual – Emergency Medicine Physician, NPI 1194795591
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
151 MARENGO AVE
FOREST PARK, IL 601301310
Phone: (312) 623-6489
Type: Mailing
North Avenue, Melrose, Middlesex County, Massachusetts, 01180, United States
MELROSE PARK, IL 601601612
Phone: (708) 450-4975
Type: Location
931, Clinton Avenue, Oak Park, Des Moines, Polk County, Iowa, 50313, United States
OAK PARK, IL 603041821
Phone: (708) 445-8161
Type: Mailing
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
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 |
|---|---|---|---|---|
| 99284 | Emergency department visit with moderate level of medical decision making | 24 | 24 | $0 |
| 99285 | Emergency department visit with high level of medical decision making | 19 | 19 | $0 |
| 99291 | Critical care, first 30-74 minutes | 12 | 12 | $0 |
Insurance plans in this area (ZIP 60130)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Emergency Medicine, Internal Medicine | IN | |
| - | IL | |
| Emergency Medicine | WI | |
| Emergency Medicine | IL | |
| Emergency Medicine | PA | |
| Emergency Medicine | CA | |
| Emergency Medicine | IL | |
| Nurse Practitioner | IL |
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