Unknown Individual – Obstetrics & Gynecology Physician, NPI 1962450262
Obstetrics & Gynecology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
911, North Elm Street, Fullersburg, Hinsdale, DuPage County, Illinois, 60521, United States
SUITE 215
HINSDALE, IL 605213634
Phone: (630) 856-6865
Fax: (630) 856-6813
Type: Mailing
3003, Wakefield Drive, Carpentersville, Kane County, Illinois, 60110, United States
CARPENTERSVILLE, IL 601102422
Phone: (708) 747-7100
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
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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 60521)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| - | IL | |
| Family Practice | IL |
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