Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1548266935
Pain Medicine (Anesthesiology) 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
2044, Madison Avenue, Granite City, Madison County, Illinois, 62040, United States
SUITE G-1
GRANITE CITY, IL 620404641
Phone: (618) 798-3350
Fax: (618) 798-3355
Type: Mailing
2120, Madison Avenue, Granite City, Madison County, Illinois, 62040, United States
SUITE 106
GRANITE CITY, IL 620404744
Phone: (618) 798-3350
Fax: (618) 798-3355
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62040)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | MO | |
| O T O L A R Y N G O L O G Y | MO | |
| - | IL | |
| - | MI | |
| - | IL |
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