Unknown Individual – Family Medicine Physician, NPI 1780779405
Family Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1275, Hawthorn Road, Salem, Marion County, Illinois, 62881, United States
SALEM, IL 628811028
Phone: (618) 548-4545
Fax: (618) 548-4577
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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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 62881)
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