Unknown Individual – Diagnostic Radiology Physician, NPI 1467569913
Diagnostic Radiology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
801, Lakeview Lane, Burr Ridge, DuPage County, Illinois, 60527, United States
BURR RIDGE, IL 605275625
Phone: (630) 654-8720
Type: Mailing
Roosevelt Lane, Hines, Harney County, Oregon, 97738, United States
HINES, IL 60141
Phone: (708) 202-2169
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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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 60527)
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