Unknown Individual – Gastroenterology Physician, NPI 1699777052
Gastroenterology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
500, Lavergne Avenue, Wilmette, New Trier Township, Cook County, Illinois, 60091, United States
WILMETTE, IL 600912024
Phone: (847) 594-1805
Mailing address matches the actual address.
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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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 60091)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| INTERNAL MEDICINE | IL | 43235 | Diagnostic examination of esophagus, stomach, and/or upper small bowel using an endoscope | 91 | 87 |
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