Unknown Individual – Psychiatry Physician, NPI 1245262468
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
17 BURR OAK DR
HIGHLAND, IL 622492310
Phone: (618) 533-1391
Fax: (618) 533-0012
Type: Mailing
Centralia Town Hall, 101, South Locust Street, Centralia, Marion County, Illinois, 62801, United States
CENTRALIA, IL 628013506
Phone: (618) 533-1391
Fax: (618) 533-0012
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62249)
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