Unknown Individual – Psychiatry Physician, NPI 1366466260
Psychiatry Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
857, Summit Avenue, Lake Forest, Lake County, Illinois, 60045, United States
LAKE FOREST, IL 600451720
Phone: (847) 295-6786
Fax: (847) 295-8636
Type: Mailing
Captain James A. Lovell Federal Health Care Center, 3001, Green Bay Road, Five Points, North Chicago, Lake County, Illinois, 60064, United States
MAIL CODE 116A
NORTH CHICAGO, IL 600643048
Phone: (224) 610-5788
Fax: (224) 610-3885
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 60045)
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