Unknown Individual – Family Medicine Physician, NPI 1750302253
Family Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
OSF Saint Paul Medical Center, 1401, East 12th Street, Mendota, Mendota Township, LaSalle County, Illinois, 61342, United States
MENDOTA, IL 613429216
Phone: (815) 539-7461
Fax: (815) 538-5516
Type: Mailing
Washington Street, Mendota, LaSalle County, Illinois, 61342, United States
MENDOTA, IL 613421471
Phone: (815) 538-1825
Fax: (815) 538-2524
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 99232 | Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes | 26 | 19 | $0 |
| 99222 | Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes | 14 | 14 | $0 |
Insurance plans in this area (ZIP 61342)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | IL | |
| Internal Medicine | IL | |
| Nurse Practitioner | IL | |
| Physician Assistant | IL | |
| Nurse Practitioner | IL | |
| Nurse Practitioner | IL | |
| Family Practice | IL | |
| Family Practice | IL | |
| Family Practice | WI | |
| Nurse Practitioner | IL |
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