Unknown Individual – Endodontics, NPI 1124006226
Endodontics
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
721, Fair Links Way, Gurnee, Lake, Illinois, 60031, United States
GURNEE, IL 600314706
Phone: (847) 363-8354
Fax: (837) 984-2104
Type: Mailing
10532, North Port Washington Road, Mequon, Ozaukee County, Wisconsin, 53092, United States
MEQUON, WI 530925563
Phone: (262) 241-8300
Fax: (262) 241-8300
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 60031)
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