Unknown Individual – Internal Medicine Physician, NPI 1114901675
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
411, Claridge Court, Lake Villa, Lake County, Illinois, 60046, United States
LAKE VILLA, IL 600465076
Phone: (847) 356-3471
Type: Mailing
6th Street, Great Lakes, North Chicago, Lake County, Illinois, 60088, United States
NAVAL HOSPITAL GREAT LAKES
GREAT LAKES, IL 600885230
Phone: (847) 688-4560
Fax: (847) 688-2678
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 60046)
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