Unknown Individual – Family Medicine Physician, NPI 1740239045
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
Bolingbrook Post Office, 105, Canterbury Lane, Bolingbrook, Will County, Illinois, 60440, United States
BOLINGBROOK, IL 604407009
Phone: (708) 245-8900
Fax: (708) 245-5604
Type: Mailing
Adventist La Grange Memorial Hospital, 5101, Willow Springs Road, La Grange, Lyons Township, Cook County, Illinois, 60525, United States
2ND FLR
LA GRANGE, IL 605252600
Phone: (708) 245-8900
Fax: (708) 245-5604
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 60440)
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