Unknown Individual – Pediatrics Physician, NPI 1962448357
Pediatrics Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
214, McHenry Road, Buffalo Grove, Lake County, Illinois, 60089, United States
BUFFALO GROVE, IL 600896748
Phone: (847) 459-1160
Fax: (847) 459-8692
Type: Location
2613, Farnsworth Lane, Northbrook Park, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States
NORTHBROOK, IL 600625920
Phone: (184) 756-2876
Type: Mailing
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
Source: CMS public data · Not endorsed by CMS ·
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 60089)
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