Unknown Individual – Diagnostic Radiology Physician, NPI 1396770376
Diagnostic Radiology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 770
907 WEST LINCOLN AVENUE
CHARLESTON, IL 61920
Phone: (217) 345-2100
Fax: (217) 345-8366
Type: Mailing
907, West Lincoln Avenue, Charleston, Coles County, Illinois, 61920, United States
CHARLESTON, IL 61920
Phone: (217) 345-2100
Fax: (217) 345-8366
Type: Location
NPPES updates history
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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 61920)
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