NPI: 1013976927 · SYCAMORE, IL 60178 · Rheumatology Physician · NPI assigned 03/20/2006
| Authorized Official | ROSS, ASHLEY (CREDENTIALING COORDINATOR) |
| NPI Enumeration Date | 03/20/2006 |
| Year | Claims | Total Paid |
|---|---|---|
| 2018 | 14 | $1K |
| Code | Description | Claims | Beneficiaries | Total Paid |
|---|---|---|---|---|
| L4360 | Walking boot, pneumatic and/or vacuum, with or without joints, with or without interface material, prefabricated item that has been trimmed, bent, molded, assembled, or otherwise customized to fit a specific patient by an individual with expertise | 14 | 14 | $1K |