Unknown Individual – Colon & Rectal Surgery Physician, NPI 1639276926
Colon & Rectal Surgery Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Fantus Health Center, 1901, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
JOHN STROGER HOSPITAL
CHICAGO, IL 606123714
Phone: (312) 864-5277
Fax: (312) 864-9802
Type: Location
738, North Washington Avenue, Park Ridge, Maine Township, Cook County, Illinois, 60068, United States
PARK RIDGE, IL 600682717
Phone: (847) 825-3075
Fax: (312) 864-9802
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60612)
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