Unknown Individual – Internal Medicine Physician, NPI 1053319723
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6th Street, Streator, LaSalle County, Illinois, 61364, United States
STE 301
STREATOR, IL 613642899
Phone: (815) 673-5522
Fax: (815) 673-2435
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 61364)
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