Unknown Individual – Family Medicine Physician, NPI 1508858093
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
132, Rosewood Drive, Streamwood, Hanover Township, Cook County, Illinois, 60107, United States
STREAMWOOD, IL 601071577
Phone:
Type: Mailing
Legislative Office, 164, Division Street, Elgin Historic District, Elgin, Kane County, Illinois, 60120, United States
STE 617
ELGIN, IL 601205587
Phone: (630) 788-2131
Fax: (630) 237-6020
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 60107)
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