Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1215001805
Anatomic Pathology & Clinical Pathology Physician
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Provider Addresses for Unknown Individual
2160, South 1st Avenue, Maywood, Proviso Township, Cook County, Illinois, 60153, United States
MAYWOOD, IL 601533328
Phone: (708) 327-2815
Fax: (708) 327-2815
Mailing address matches the actual address.
NPPES updates history
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Medicare Enrollment & Revalidation
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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 60153)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | IL | 88304 | Pathology examination of tissue using a microscope, moderately low complexity | 15 | 14 |
| PATHOLOGY | IL | 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 80 | 51 |
| PATHOLOGY | IL | 88312 | Special stained specimen slides to identify organisms including interpretation and report | 21 | 16 |
| PATHOLOGY | IL | 88342 | Tissue or cell analysis by immunologic technique | 90 | 77 |
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 |
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