Unknown Individual – Procedural Dermatology Physician, NPI 1891784401
Procedural Dermatology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
41, South Prospect Avenue, Park Ridge, Maine Township, Cook County, Illinois, 60068, United States
PARK RIDGE, IL 600684138
Phone: (847) 823-4113
Fax: (847) 823-0059
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 60068)
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