Unknown Individual – Family Medicine Physician, NPI 1205855178
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Round Lake Beach, Barron Boulevard, Rollins, Round Lake Beach, Lake County, Illinois, 60030, United States
ROUND LAKE BEACH, IL 600731331
Phone:
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 60073)
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