Unknown Individual – Family Medicine Physician, NPI 1073589461

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Family Medicine Physician. They hold a License No. 036100531 (IL). The NPI Number for Unknown Individual is 1073589461

Main info

Organization
Inactive
29 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1073589461
Phone
(630) 469-9200
Address
1860 PAYSPHERE CIR
Deactivation Date
31 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6309634570
Graduation Year
1997 (29 years ago)
PAC ID
6709800998
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20060113000672

Contacts

Secure Messaging
shung2177@dulyhealthandcare.direct-ci.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Loading map...

Provider Addresses for Unknown Individual

  • 1860 PAYSPHERE CIR

    CHICAGO, IL 606740018

    Phone: (630) 469-9200

    Type: Mailing

  • 801, North Cass Avenue, Westmont, DuPage County, Illinois, 60559, United States

    STE 300

    WESTMONT, IL 60559

    Phone: (630) 963-6565

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

Open Payments (CMS)

CMS reports 36 Open Payments records for all available years, with a total value of $734.

Total Amount is formed as General ($734) + Research ($0) + Ownership ($0) = $734.

Last reported payment date: 2023-11-06 • Largest payer in this snapshot: Boehringer Ingelheim Pharmaceuticals, Inc. ($94).

Total Amount

$734

General + Research + Ownership

Payments

36

Total payment records

General Amount

$734

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-11-06

Latest reported date

View all Open Payments →|Open Payments Risk Radar →

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
36415Insertion of needle into vein for collection of blood sample8170$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit7373$0
80053Blood test, comprehensive group of blood chemicals6965$0
83036Hemoglobin a1c level6552$0
80061Blood test, lipids (cholesterol and triglycerides)5653$0
View full utilization report →

Insurance plans in this area (ZIP 60674)

Loading plans...

Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL83036Hemoglobin A1C level342221
FAMILY MEDICINEIL85610Blood test, clotting time12949
FAMILY MEDICINEIL90670Pneumococcal vaccine for injection into muscle4848

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: 5496667941View full group profile
NameSpecialtyState
E N D O C R I N O L O G YIL
Physician AssistantIL
Internal MedicineIL
Nurse PractitionerIL
-IL
-IL
-IL
-IL
-IL
Physical Therapist In Private PracticeIL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1073589461 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Family Medicine Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Chicago, Illinois; more addresses can appear in NPPES.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

Similar Providers

DR. LAWRENCE D RAMUNNO (MD, MPH, CDE)

Family Medicine Physician
Sibley Memorial Hospital, 5255, Loughboro Road Northwest, Palisades, Washington, Washington, D.C., 20016, United States of America
NPI: 1013910884

ANDREW M PAVLATOS (MD)

Family Medicine Physician
MetroPCS, 6974, North Clark Street, Rogers Park, Chicago, Rogers Park Township, Cook County, Illinois, 60626, United States
NPI: 1679576201

KEVIN G MURPHY (MD)

Family Medicine Physician
29373 NETWORK PL
NPI: 1932102563

ROKEYA BEGUM AKHTAR (MD)

Family Medicine Physician
7447 W TALCOTT AVE STE 245
NPI: 1780687368

JAMES P CLANCY (MD)

Family Medicine Physician
2306-2310, West Touhy Avenue, West Ridge, Rogers Park, Chicago, Rogers Park Township, Cook County, Illinois, 60626, United States
NPI: 1538162102

CHRISTINE L SCHWARTZ PETERSON (MD)

Family Medicine Physician
West Talcott Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States
NPI: 1285637801

MARZENA LIPINSKA (MD)

Family Medicine Physician
West Talcott Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60631, United States
NPI: 1487657078

BOZENA GRAZYNA THEODOROPOULOS (MD)

Family Medicine Physician
North California Avenue, Humboldt Park, West Town, Chicago, Cook County, Illinois, 60625, United States
NPI: 1619970225

JAN WIACEK (MD)

Family Medicine Physician
3204, North Oak Park Avenue, Dunning, Chicago, Jefferson Township, Cook County, Illinois, 60634, United States
NPI: 1548263130