Unknown Individual – Family Medicine Physician, NPI 1225187792
Family Medicine Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1802-1806, West Chicago Avenue, Ukrainian Village, West Town, Chicago, Cook County, Illinois, 60651, United States
SUITE 4
CHICAGO, IL 606225512
Phone: (773) 772-7230
Fax: (773) 772-7230
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 60622)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Family Practice, General Practice | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Internal Medicine, General Practice | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL |
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