Unknown Individual – Pulmonary Disease Physician, NPI 1891853016
Pulmonary Disease Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
3221, Lakeside Avenue, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States
NORTHBROOK, IL 600625111
Phone: (847) 715-0923
Type: Mailing
Swedish Covenant Hospital, 5140, North California Avenue, West Ravenswood, Lincoln Square, Chicago, Jefferson Township, Cook County, Illinois, 60625, United States
SUITE 620
CHICAGO, IL 60625
Phone: (773) 275-8272
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
No Open Payments data available for this provider.
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Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-05-30
PECOS data refreshed: 2026-05-27
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Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 60062)
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