Unknown Individual – Nurse Practitioner, NPI 1992252399
Nurse Practitioner
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
10370 Haligus Rd Ste 200
Huntley, IL 601429582
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Location
4309 W Medical Center Dr Ste A200
McHenry, IL 600508437
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Location
West Medical Center Drive, McHenry, McHenry County, Illinois, 60050, United States
MCHENRY, IL 600508437
Phone: (815) 759-8070
Fax: (815) 759-4931
Type: Mailing
120, Crystal Lake Road, Washington, Knox County, Maine, 04574, United States
CRYSTAL LAKE, IL 600147994
Phone: (815) 477-8900
Fax: (815) 477-7160
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $76.
Total Amount is formed as General ($76) + Research ($0) + Ownership ($0) = $76.
Last reported payment date: 2024-01-18 • Largest payer in this snapshot: Abbott Laboratories ($49).
Total Amount
$76
General + Research + Ownership
Payments
3
Total payment records
General Amount
$76
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-01-18
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Abbott Laboratories | $49 |
| Novartis Pharmaceuticals Corporation | $27 |
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.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
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.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60142)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Cardiovascular Disease (Cardiology) | IL | |
| Nuclear Medicine, Peripheral Vascular Disease, Cardiovascular Disease (Cardiology) | IL | |
| Cardiovascular Disease (Cardiology) | IL |
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