Unknown Individual – Psychiatry Physician, NPI 1992930275
Psychiatry Physician
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Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
103, Southpointe Drive, Edwardsville, Madison County, Illinois, 62025, United States
EDWARDSVILLE, IL 620253651
Phone: (618) 656-2000
Type: Mailing
Washington County Hospital, 705, South Grand Street, Nashville, Washington County, Illinois, 62263, United States
NASHVILLE, IL 622631534
Phone: (618) 656-2000
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 62025)
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