Unknown Individual – Psychiatry Physician, NPI 1003040387
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 790
EDWARDSVILLE, IL 620250790
Phone: (618) 656-2000
Type: Mailing
817, North Stanford Road, Flora, Harter Township, Clay County, Illinois, 62839, United States
FLORA, IL 628393243
Phone: (618) 656-2000
Type: Location
NPPES updates history
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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 62025)
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