Unknown Individual – Chiropractor, NPI 1083671762

Unknown Individual is a healthcare provider. based in Galesburg, Illinois. specializing in Chiropractor. The NPI Number for Unknown Individual is 1083671762

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1083671762
Phone
(309) 343-2117
Address
777 N HENDERSON ST
Deactivation Date
6 March 2024

Doctor Profile

Medical School Name
PALMER COLLEGE CHIROPRACTIC - DAVENPORT
Secondary Phone
3093432117
Graduation Year
1979 (47 years ago)
PAC ID
1951473065
Group Practice PAC ID
1153407440
Professional Enrollment ID
I20080707000665
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

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Provider Addresses for Unknown Individual

  • 777, North Henderson Street, Galesburg, Knox County, Illinois, 61401, United States

    GALESBURG, IL 61401

    Phone: (309) 343-2117

    Fax: (309) 343-6639

    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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
98941Chiropractic manipulative treatment, 3-4 spinal regions45147$0
View full utilization report →

Insurance plans in this area (ZIP 61401)

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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: 1153407440View full group profile
NameSpecialtyState
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL
C H I R O P R A C T I CIL

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1083671762 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Chiropractor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see Galesburg, Illinois on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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