Unknown Individual – Internal Medicine Physician, NPI 1982895157
Internal Medicine Physician
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
PO BOX 15840
LOVES PARK, IL 611325840
Phone: (815) 654-7772
Fax: (815) 654-7009
Type: Mailing
303, Andrews Drive, Belvidere, Boone County, Illinois, 61008, United States
BELVIDERE, IL 610083918
Phone: (815) 544-1007
Fax: (815) 647-1047
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)
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 61132)
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