Unknown Individual – Cardiovascular Disease Physician, NPI 1912988403
Cardiovascular Disease 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: (708) 532-6029
Fax: (708) 468-4991
Type: Mailing
200, Hammes Avenue, Joliet, Will County, Illinois, 60435, United States
JOLIET, IL 604356677
Phone: (815) 744-6622
Fax: (815) 744-9585
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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Educational use only—not medical, billing, or legal advice.
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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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| CARDIOVASCULAR DISEASE (CARDIOLOGY) | IL | 93010 | Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report | 551 | 532 |
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