Unknown Individual – Radiologic Technologist, NPI 1609035393
Radiologic Technologist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
5502, North Menard Avenue, Gladstone, Jefferson Park, Chicago, Jefferson Township, Cook County, Illinois, 60630, United States
CHICAGO, IL 606301202
Phone: (773) 631-5900
Fax: (773) 631-5901
Type: Location
6124 N MILWAUKEE AVE STE 2
CHICAGO, IL 606463820
Phone: (773) 631-5900
Fax: (773) 631-5901
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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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 60630)
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