Unknown Individual – Physician Assistant, NPI 1851450100
Physician Assistant
Main info
Profile Insights
NPPES metrics only — not quality of care.
Provider Addresses for Unknown Individual
3101 CENTENNIAL LN
HIGHLAND PARK, IL 600351019
Phone: (312) 375-7217
Type: Mailing
1701 W SUPERIOR ST
CHICAGO, IL 606225646
Phone: (312) 666-3494
Type: Location
3303, West 26th Street, South Lawndale, Chicago, Cook County, Illinois, 60623, United States
CHICAGO, IL 606234036
Phone: (773) 277-6589
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60035)
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