Unknown Individual – Surgical Physician Assistant, NPI 1013124403
Surgical Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 56341
CHICAGO, IL 606560341
Phone: (708) 867-4949
Fax: (708) 867-4981
Type: Mailing
MacNeal Hospital, 3249, Oak Park Avenue, Berwyn, Cook County, Illinois, 60402, United States
BERWYN, IL 604023429
Phone: (773) 502-4221
Fax: (773) 404-2086
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 60656)
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