Unknown Individual – Sports Medicine (Physical Medicine & Rehabilitation) Physician, NPI 1932142973
Sports Medicine (Physical Medicine & Rehabilitation) Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
6225 SWORM LN
EDWARDSVILLE, IL 620254917
Phone: (618) 659-9627
Fax: (618) 659-9702
Type: Mailing
South State Route 157, Edwardsville, Madison County, Illinois, 62025, United States
EDWARDSVILLE, IL 620254017
Phone: (618) 254-2273
Fax: (618) 254-8476
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)
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No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 62025)
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