Unknown Individual – Clinical Social Worker, NPI 1023172103

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Clinical Social Worker. The NPI Number for Unknown Individual is 1023172103

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1023172103
Phone
(312) 280-1166
Address
1731 NORTH MARLEY
Deactivation Date
2 October 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
3127549404
Graduation Year
1997 (29 years ago)
PAC ID
4789010380
Group Practice PAC ID
7517284755
Professional Enrollment ID
I20200129003142
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1731 NORTH MARLEY

    SUITE 535

    CHICAGO, IL 60614

    Phone: (312) 280-1166

    Fax: (312) 280-1199

    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)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60614)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 7517284755View full group profile
NameSpecialtyState
-IL
-IL
Physician AssistantTN
Physician AssistantIA
Physician AssistantIL
Mental Health CounselorPA
-KS
Mental Health CounselorIL
Physician AssistantIL
Physician AssistantPA

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1023172103 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Chicago, Illinois as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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