Unknown Individual – Diagnostic Radiology Physician, NPI 1750589164
Diagnostic Radiology Physician
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Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
17417 SHED CHURCH RD
MARION, IL 629597230
Phone: (618) 982-2607
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62959)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Internal Medicine | AZ | |
| Certified Nurse Midwife (Cnm) | NM | |
| - | OK | |
| General Surgery | AZ | |
| Family Practice | AZ | |
| - | DC | |
| - | MT | |
| General Surgery | TX | |
| Family Practice | NY | |
| General Surgery | CO |
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