Unknown Individual – Internal Medicine Physician, NPI 1275536286
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Romona Road, Wilmette, New Trier Township, Cook County, Illinois, 60091, United States
WILMETTE, IL 600913023
Phone: (847) 251-2982
Type: Mailing
Resurrection Health Care Medical Office Building, 3048-3056, West Peterson Avenue, West Ridge, Chicago, Jefferson Township, Cook County, Illinois, 60659, United States
CHICAGO, IL 606593720
Phone: (773) 761-6300
Fax: (773) 761-3541
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)
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 60091)
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