Unknown Individual – Medical Oncology Physician, NPI 1245204577
Medical Oncology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Lake Point Tower, 505, North Lake Shore Drive, Loop, Chicago, Cook County, Illinois, 60611, United States
SUITE 5811
CHICAGO, IL 606113427
Phone: (312) 791-3104
Fax: (312) 791-2950
Type: Mailing
2800, South Vernon Avenue, Douglas, Chicago, South Chicago Township, Cook County, Illinois, 60616, United States
LOWER LEVEL
CHICAGO, IL 606163557
Phone: (312) 791-3104
Fax: (312) 791-2950
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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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 60611)
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