Endocrinology and Metabolism – Endocrinology, Diabetes & Metabolism Physician, NPI 1083761860
Endocrinology, Diabetes & Metabolism Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Endocrinology and Metabolism
2513 MOMENTUM PL
CHICAGO, IL 606895325
Phone: (231) 935-6080
Fax: (231) 935-6081
Type: Mailing
208, Sixth Street, Central Neighborhood, Traverse City, Grand Traverse County, Michigan, 49684, United States
TRAVERSE CITY, MI 496842360
Phone: (231) 935-2045
Fax: (231) 935-2046
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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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-01-08
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60689)
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