Unknown Individual – Emergency Medicine Physician, NPI 1689675829
Emergency Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States
DEPT A
CHICAGO, IL 606801495
Phone: (630) 734-0200
Fax: (630) 734-1560
Type: Mailing
Advocate Good Samaritan Hospital, 3815, Highland Avenue, Downers Grove, DuPage County, Illinois, 60515, United States
DOWNERS GROVE, IL 605151500
Phone: (630) 275-5900
Fax: (630) 734-1560
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 60680)
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