Unknown Individual – Specialist, NPI 1306847322
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5737, South Kenwood Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States
CHICAGO, IL 606371718
Phone:
Type: Mailing
9921, Southwest Highway, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States
OAK LAWN, IL 604533767
Phone: (708) 499-5678
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 ·
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60637)
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