Unknown Individual – Dermatology Physician, NPI 1316050388
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
820, Springer Drive, Lombard, DuPage County, Illinois, 60148, United States
LOMBARD, IL 601486413
Phone: (708) 634-4602
Fax: (630) 495-1770
Type: Mailing
37605, Pembroke Avenue, Victor Coporate Park, Livonia, Wayne County, Michigan, 48152, United States
LIVONIA, MI 481521050
Phone: (734) 591-7931
Fax: (734) 464-0335
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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Educational use only—not medical, billing, or legal advice.
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 60148)
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