Unknown Individual – Nephrology Physician, NPI 1215934021
Nephrology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Oak Park, Huntsville, Madison County, Alabama, 35801-3609, United States
OAK PARK, IL 603024420
Phone: (708) 492-4531
Fax: (708) 763-0790
Type: Mailing
Jackson Park Hospital, 7531, South Stony Island Avenue, South Shore, Chicago, Hyde Park Township, Cook County, Illinois, 60649, United States
SUITE 158 & 160
CHICAGO, IL 606493954
Phone: (708) 492-4531
Fax: (708) 763-0790
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 60302)
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