Unknown Individual – Internal Medicine Physician, NPI 1275543910
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 500
CHATHAM, IL 626290500
Phone: (217) 670-2424
Fax: (217) 670-2809
Type: Mailing
2901, Old Jacksonville Road, Springfield, Sangamon County, Illinois, 62704, United States
SPRINGFIELD, IL 627047437
Phone: (217) 698-9722
Fax: (217) 391-0392
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 62629)
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