Unknown Individual – Specialist, NPI 1578513990
Specialist
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5045 JARLATH AVE
SKOKIE, IL 600773460
Phone: (847) 676-1415
Fax: (773) 489-3061
Type: Mailing
Devon Avenue, Des Plaines, Maine Township, Cook County, Illinois, 60018, United States
SUITE 285
DES PLAINES, IL 600184503
Phone: (847) 257-7984
Fax: (847) 813-9091
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
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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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60077)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine, General Surgery, Obstetrics/Gynecology | IL | |
| Physician Assistant | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Family Practice, General Surgery | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL |
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