Unknown Individual – Specialist, NPI 1932105574
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
The Plaza on DeWitt, 260, East Chestnut Street, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States
APT 2901
CHICAGO, IL 606112463
Phone: (312) 642-1361
Fax: (312) 942-3070
Type: Mailing
Rush Professional Building, 1725, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States
STE 958
CHICAGO, IL 606123861
Phone: (312) 226-0300
Fax: (312) 942-3070
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 60611)
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