Unknown Individual – Pediatric Surgery Physician, NPI 1053306993
Pediatric Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
35422 EAGLE WAY
CHICAGO, IL 606781354
Phone: (773) 880-4000
Type: Mailing
2300 N CHILDRENS PLZ
CHICAGO, IL 606143363
Phone: (773) 880-4000
Fax: (773) 281-1576
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 60678)
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