Unknown Individual – General Practice Physician, NPI 1568400679
General Practice Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 267
107 TREMONT ST
HOPEDALE, IL 617470267
Phone: (309) 449-4450
Fax: (309) 449-4488
Type: Mailing
Hopedale Medical Complex, 107, Tremont Street, Hopedale, Tazewell County, Illinois, 61747, United States
MEDICAL ARTS PHYSICIANS
HOPEDALE, IL 617470267
Phone: (309) 449-4450
Fax: (309) 449-4488
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 61747)
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