Unknown Individual – Internal Medicine Physician, NPI 1114112265
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
2021 KENTVILLE RD
IYC KEWANEE
KEWANEE, IL 61443
Phone: (309) 852-4601
Type: Location
327, McKinley Avenue, McKinley Place, Kewanee, Henry County, Illinois, 61443, United States
KEWANEE, IL 614432905
Phone: (309) 852-3165
Fax: (309) 852-3199
Type: Mailing
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 61443)
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