Unknown Individual – Specialist, NPI 1013907005
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
9630, Kenton Avenue, Skokie, Niles Township, Cook County, Illinois, 60076, United States
SKOKIE, IL 600761216
Phone: (847) 677-1631
Fax: (847) 677-1406
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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No Medicare enrollment or revalidation data available for this provider in our database.
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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 60076)
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