Unknown Individual – Gastroenterology Physician, NPI 1063417681
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5393, North Milwaukee Avenue, Gladstone, Jefferson Park, Chicago, Jefferson Township, Cook County, Illinois, 60630, United States
CHICAGO, IL 606301251
Phone: (773) 775-9500
Fax: (773) 775-6975
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 60630)
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