Unknown Individual – Specialist, NPI 1679516470
Specialist
Main info
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for Unknown Individual
744, West Michigan Avenue, Jackson, Jackson County, Michigan, 49201, United States
JACKSON, MI 492011909
Phone: (517) 787-6440
Fax: (517) 787-4146
Type: Mailing
AMITA Health Adventist Medical Center, Hinsdale, 120, North Oak Street, Hinsdale, DuPage County, Illinois, 60521, United States
HINSDALE, IL 605213829
Phone: (630) 856-9000
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 49201)
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