Unknown Individual – Obstetrics & Gynecology Physician, NPI 1710932637
Obstetrics & Gynecology Physician
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Doctor Profile
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Lakeside Drive, Bannockburn, Illinois, United States
BANNOCKBURN, IL 600151271
Phone: (847) 562-1410
Fax: (847) 562-0830
Type: Mailing
North Randall Road, Valley Creek, Elgin, Kane County, Illinois, 60123, United States
SUITE 309
ELGIN, IL 601232300
Phone: (847) 741-7990
Fax: (847) 741-8099
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 6 Open Payments records for all available years, with a total value of $148.
Total Amount is formed as General ($148) + Research ($0) + Ownership ($0) = $148.
Last reported payment date: 2023-07-25 • Largest payer in this snapshot: Astellas Pharma US Inc ($123).
Total Amount
$148
General + Research + Ownership
Payments
6
Total payment records
General Amount
$148
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
2
Ownership records
Last Payment Date
2023-07-25
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $123 |
| MAYNE PHARMA COMMERCIAL LLC | $25 |
| Unified Women's Healthcare, LP | $0 |
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| G0101 | Cervical or vaginal cancer screening; pelvic and clinical breast examination | 44 | 44 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 30 | 26 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 17 | 12 | $0 |
Insurance plans in this area (ZIP 60015)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| - | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| Nurse Practitioner | IL | |
| - | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL | |
| O B S T E T R I C S/ G Y N E C O L O G Y | IL |
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