Unknown Individual – Diagnostic Radiology Physician, NPI 1073846804
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5795, North Elston Avenue, Jefferson Park, Chicago, Jefferson Township, Cook County, Illinois, 60646, United States
CHICAGO, IL 606465545
Phone: (773) 631-5900
Fax: (773) 631-5901
Type: Mailing
2nd Avenue, Rock Falls, Whiteside County, Illinois, 61071, United States
ROCK FALLS, IL 610711275
Phone: (815) 622-0900
Fax: (773) 631-5901
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
Source: CMS public data · Not endorsed by CMS ·
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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 60646)
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