Unknown Individual – Urology Physician, NPI 1477567808
Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
PARK RIDGE, IL 600680798
Phone: (847) 692-6218
Fax: (847) 692-5606
Type: Mailing
1810, West Chicago Avenue, Ukrainian Village, West Town, Chicago, Cook County, Illinois, 60651, United States
CHICAGO, IL 606225512
Phone: (773) 489-5124
Fax: (773) 489-5125
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
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
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 60068)
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