Unknown Individual – Internal Medicine Physician, NPI 1891793550
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 967
TINLEY PARK, IL 604770967
Phone:
Type: Mailing
1738, West 99th Street, Beverly, Chicago, Lake Township, Cook County, Illinois, 60805, United States
CHICAGO, IL 606432116
Phone: (773) 223-2408
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 60477)
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