Unknown Individual – Diagnostic Radiology Physician, NPI 1407932858
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
HSHS Good Shepherd Hospital, 200, South Cedar Street, Shelbyville, Shelby County, Illinois, 62565, United States
SHELBY MEMORIAL HOSPITAL
SHELBYVILLE, IL 62565
Phone: (217) 774-3961
Type: Location
Ridgeway Drive, Decatur County, West Tennessee, Tennessee, 38380, United States
DECATUR, IL 62521
Phone: (217) 428-2879
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 62565)
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