Unknown Individual – Specialist, NPI 1598757817
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6084, South Archer Avenue, Garfield Ridge, Chicago, Lake Township, Cook County, Illinois, 60638, United States
SUITE 101
CHICAGO, IL 606382747
Phone: (773) 884-4152
Fax: (708) 430-2417
Type: Location
8700, West 95th Street, Hickory Hills, Palos Township, Cook County, Illinois, 60457, United States
SUITE 6
HICKORY HILLS, IL 604572700
Phone: (708) 430-2400
Fax: (708) 430-2417
Type: Mailing
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 60638)
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