Unknown Individual – Urology Physician, NPI 1972561413
Urology Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 986
MOUNT VERNON, IL 628640020
Phone: (618) 244-3200
Fax: (618) 244-3254
Type: Mailing
Broadway, Mount Vernon Street Historic District, Somerville, Middlesex County, Massachusetts, 02145, United States
MT VERNON, IL 628640020
Phone: (618) 244-3200
Fax: (618) 244-3254
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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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 62864)
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