Unknown Individual – Psychiatry Physician, NPI 1184703522
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
952, Pine Tree Lane, Winnetka, New Trier Township, Cook County, Illinois, 60093, United States
WINNETKA, IL 600931323
Phone: (847) 441-5751
Type: Mailing
122 South Michigan, 122, South Michigan Avenue, Printer's Row, Loop, Chicago, Cook County, Illinois, 60603, United States
SUITE 1301
CHICAGO, IL 606036191
Phone: (312) 922-2967
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 60093)
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