Unknown Individual – Dermatopathology Physician, NPI 1861404279
Dermatopathology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
1108, West 110th Place, Morgan Park, Chicago, Lake Township, Cook County, Illinois, 60643, United States
CHICAGO, IL 606433711
Phone: (773) 238-0723
Type: Mailing
11157, South Halsted Street, Roseland, Chicago, Lake Township, Cook County, Illinois, 60827, United States
CHICAGO, IL 606283910
Phone: (773) 568-5800
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 60643)
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