Unknown Individual – Licensed Practical Nurse, NPI 1972566610
Licensed Practical Nurse
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
7704, Wesley Road, Machesney Park, Harlem Township, Winnebago County, Illinois, 61115, United States
MACHESNEY PARK, IL 611153070
Phone: (815) 639-9994
Fax: (815) 639-9994
Mailing address matches the actual address.
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 61115)
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