Unknown Individual – Gastroenterology Physician, NPI 1376605964
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3633, West Lake Avenue, Glenview, Northfield Township, Cook County, Illinois, 60026, United States
SUITE 307
GLENVIEW, IL 60026
Phone: (847) 998-9510
Fax: (847) 998-9512
Type: Location
915, Seneca Road, Wilmette, New Trier Township, Cook County, Illinois, 60091, United States
WILMETTE, IL 60091
Phone: (847) 256-7575
Fax: (847) 998-9512
Type: Mailing
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)
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 60026)
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