Unknown Individual – Geriatric Medicine (Internal Medicine) Physician, NPI 1235106022
Geriatric Medicine (Internal Medicine) Physician
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Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
242 S ELMWOOD AVE
OAK PARK, IL 603023222
Phone: (708) 902-4459
Fax: (708) 524-2545
Type: Mailing
9000 W 81ST ST
JUSTICE, IL 604581350
Phone: (708) 458-3040
Type: Location
Mercy Hospital & Medical Center, 2525, South Michigan Avenue, Near South Side, Chicago, Cook County, Illinois, 60616, United States
ATT: MEDICAL STAFF OFFICE
CHICAGO, IL 606162315
Phone: (312) 567-2434
Fax: (312) 567-6189
Type: Mailing
5513-5525, South Pulaski Road, Elsdon, West Elsdon, Chicago, Lake Township, Cook County, Illinois, 60652, United States
CHICAGO, IL 606294400
Phone: (773) 585-1955
Fax: (773) 284-5268
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
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 |
|---|---|---|---|---|
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 34 | 22 | $0 |
| 99309 | Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes | 29 | 22 | $0 |
| 99308 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes | 20 | 17 | $0 |
| G0439 | Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit | 18 | 18 | $0 |
| 99307 | Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes | 16 | 11 | $0 |
Insurance plans in this area (ZIP 60302)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| Internal Medicine | IL | |
| - | OH | |
| - | IL | |
| Orthopedic Surgery | IL | |
| - | IL |
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