Unknown Individual – Internal Medicine Physician, NPI 1760489306
Internal Medicine Physician
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NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1327, Executive Court, Pekin, Tazewell County, Illinois, 61554, United States
PEKIN, IL 615546096
Phone: (309) 353-5864
Fax: (309) 353-4894
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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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 61554)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IL | 83036 | Hemoglobin A1C level | 16 | 14 |
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