Unknown Individual – Specialist, NPI 1831172386
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
391, Quadrangle Drive, Bolingbrook, Will County, Illinois, 60440, United States
S-1
BOLINGBROOK, IL 604403442
Phone: (630) 378-1760
Fax: (630) 378-1764
Type: Location
1210, Mason Avenue, Joliet, Will County, Illinois, 60435, United States
JOLIET, IL 604355818
Phone: (630) 378-1760
Fax: (630) 378-1764
Type: Mailing
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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