Unknown Individual – Family Medicine Physician, NPI 1356567531
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
PO BOX 516
MINOOKA, IL 604470516
Phone: (815) 467-4114
Type: Mailing
25220 W. REED ST.
CHANNAHON, IL 60410
Phone: (815) 467-4114
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60447)
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