Unknown Individual – Neurology Physician, NPI 1093876492
Neurology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
The Buckingham, 360, East Randolph Street, New East Side, Loop, Chicago, South Chicago Township, Cook County, Illinois, 60601, United States
904
CHICAGO, IL 606015069
Phone: (312) 296-8307
Type: Mailing
Saint Anthony Hospital, 2875, West 19th Street, Marshall Square, South Lawndale, Chicago, West Chicago Township, Cook County, Illinois, 60623, United States
ST ANTHONY HOSPITAL
CHICAGO, IL 60623
Phone: (773) 484-4420
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 60601)
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