Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1063408698
Physical Medicine & Rehabilitation Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
777, Oakmont Lane, Westmont, DuPage County, Illinois, 60559, United States
SUITE 1600
WESTMONT, IL 605595511
Phone: (630) 789-2550
Type: Mailing
Holy Cross Hospital, 2701, West 68th Street, Chicago Lawn, Chicago, Lake Township, Cook County, Illinois, 60629, United States
CHICAGO, IL 606291813
Phone: (773) 884-9000
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 60559)
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