Unknown Individual – Pediatrics Physician, NPI 1205915956
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3000 N HALSTED ST STE 825
CHICAGO, IL 606576185
Phone: (773) 528-3403
Fax: (773) 281-2137
Type: Location
422, Lavergne Avenue, Wilmette, New Trier Township, Cook County, Illinois, 60091, United States
WILMETTE, IL 600912902
Phone: (847) 256-8374
Fax: (773) 281-2137
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)
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 60657)
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