Unknown Individual – Internal Medicine Physician, NPI 1609877810
Internal Medicine Physician
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Provider Addresses for Unknown Individual
67, West 111th Street, Roseland, Morgan Park, Chicago, Lake Township, Cook County, Illinois, 60628, United States
CHICAGO, IL 606284247
Phone: (773) 995-3454
Type: Location
9526, South Kilbourn Avenue, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
OAK LAWN, IL 604533208
Phone: (773) 995-3454
Type: Mailing
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 60628)
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