Unknown Individual – Dermatology Physician, NPI 1447248752
Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Medical Building, 1101, West Howard Street, Evanston, Evanston Township, Cook County, Illinois, 60202, United States
STE 204
EVANSTON, IL 602023878
Phone: (847) 733-9445
Fax: (847) 733-9447
Mailing address matches the actual address.
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 60202)
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