Unknown Individual – Family Medicine Physician, NPI 1447305727
Family Medicine Physician
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Provider Addresses for Unknown Individual
2002, North Damen Avenue, Logan Square, Chicago, Cook County, Illinois, 60647, United States
CHICAGO, IL 606474527
Phone: (773) 769-8165
Type: Location
2, Wellingborough Court, South Barrington, Barrington Township, Cook County, Illinois, 60010, United States
SOUTH BARRINGTON, IL 600106156
Phone: (847) 277-1740
Fax: (847) 277-1744
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
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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 60647)
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