Unknown Individual – Specialist, NPI 1114923877
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Rush Professional Building, 1725, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
STE 319
CHICAGO, IL 606123841
Phone: (312) 738-3426
Fax: (312) 738-2954
Type: Location
1100, North Lake Shore Drive, Gold Coast, Near North Side, Chicago, Cook County, Illinois, 60611, United States
APT 33A
CHICAGO, IL 606115207
Phone: (312) 266-7346
Fax: (312) 738-2954
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 60612)
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