Unknown Individual – Family Medicine Physician, NPI 1043398852
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Erie Court, Ridgeland, Oak Park, Cook County, Illinois, 60302, United States
SUITE 6040
OAK PARK, IL 603022566
Phone: (708) 386-1301
Fax: (708) 386-3053
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 60302)
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