Unknown Individual – Internal Medicine Physician, NPI 1275519399
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Pearson on the Park, 222, East Pearson Street, Magnificent Mile, Near North Side, Chicago, Cook County, Illinois, 60611, United States
UNIT 2705
CHICAGO, IL 606117347
Phone: (708) 525-5008
Type: Mailing
17850, Kedzie Avenue, Hazel Crest, Bremen Township, Cook County, Illinois, 60429, United States
SUITE 3300
HAZEL CREST, IL 604292058
Phone: (708) 799-6055
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 ·
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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 ·
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 60611)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PULMONARY DISEASE | IL | 85610 | Blood test, clotting time | 111 | 12 |
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