Unknown Individual – Internal Medicine Physician, NPI 1679551139
Internal Medicine 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
Busch Parkway, Buffalo Grove, Illinois, 60089, United States
BUFFALO GROVE, IL 600894541
Phone: (847) 459-7860
Fax: (847) 459-4228
Mailing address matches the actual address.
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)
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 60089)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IL | 90670 | Pneumococcal vaccine for injection into muscle | 96 | 96 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| - | IL | |
| N E U R O S U R G E R Y | WI | |
| - | IL | |
| - | IL | |
| - | IL |
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