St. John River District physician practices – Family Medicine Physician, NPI 1265486245
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for St. John River District physician practices
2292 SOLUTION CENTER
CHICAGO, IL 606770001
Phone: (248) 680-8000
Fax: (248) 292-3852
Type: Mailing
4100 S RIVER RD
EAST CHINA, MI 480542909
Phone: (800) 848-0202
Fax: (586) 226-6949
Type: Location
28000 DEQUINDRE RD
WARREN, MI 480922468
Phone: (248) 680-8000
Fax: (248) 292-3852
Type: Mailing
43800, Garfield Road, Clinton Township, Macomb County, Michigan, 48038, United States
SUITE 201
CLINTON TOWNSHIP, MI 480381136
Phone: (586) 228-4652
Fax: (586) 228-4520
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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Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2004-02-03
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60677)
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