Unknown Individual – Family Medicine Physician, NPI 1063491207
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Holy Family Hospital, 200, Health Care Drive, Greenville, Bond County, Illinois, 62246, United States
GREENVILLE, IL 622461154
Phone: (618) 664-2531
Fax: (618) 664-2553
Type: Mailing
205, South 3rd Street, Girard, Macoupin County, Illinois, 62640, United States
GIRARD, IL 626401547
Phone: (217) 627-2141
Fax: (217) 627-3635
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 62246)
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