Unknown Individual – Dermatology Physician, NPI 1689667479
Dermatology Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
701, Lee Street, Des Plaines, Cook County, Illinois, 60016, United States
SUITE 300
DES PLAINES, IL 600164539
Phone: (847) 390-5900
Type: Mailing
9831, South Western Avenue, Beverly, Chicago, Lake Township, Cook County, Illinois, 60643, United States
CHICAGO, IL 606431740
Phone: (773) 445-3500
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)
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 60016)
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