Unknown Individual – Psychiatry Physician, NPI 1316015282
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1100, Beech Street, Normal, McLean County, Illinois, 61761, United States
NORMANDY VILLAGE #10
NORMAL, IL 617611493
Phone: (309) 454-2112
Fax: (309) 452-1265
Mailing address matches the actual address.
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61761)
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