Unknown Individual – Emergency Medicine Physician, NPI 1659462414
Emergency Medicine Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
14174 ROYAL OAKS DR
BLOOMINGTON, IL 617046923
Phone: (309) 828-9768
Type: Mailing
Mason District Hospital, 615, North Promenade Street, Havana, Mason County, Illinois, 62644, United States
HAVANA, IL 626441243
Phone: (309) 543-4431
Fax: (309) 543-8556
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 61704)
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