Unknown Individual – Emergency Medical Services (Emergency Medicine) Physician, NPI 1164405627
Emergency Medical Services (Emergency Medicine) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Oak, Hackensack, Cass County, Minnesota, United States
OAK BROOK, IL 605232633
Phone: (708) 422-4221
Fax: (708) 422-4415
Type: Mailing
Little Company of Mary Hospital, 2800, West 95th Street, Evergreen Park, Worth Township, Cook County, Illinois, 60805, United States
EVERGREEN PARK, IL 608052746
Phone: (708) 422-4221
Fax: (708) 422-4415
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 60523)
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