Unknown Individual – Radiation Oncology Physician, NPI 1093712671

Unknown Individual is a healthcare provider. based in Westmont, Illinois. specializing in Radiation Oncology Physician. They hold a License No. 036077536 (IL). The NPI Number for Unknown Individual is 1093712671

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1093712671
Phone
(630) 654-2515
Address
251 N CASS AVE STE 150
Deactivation Date
5 December 2024

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6308932210
Graduation Year
1987 (39 years ago)
PAC ID
3577475128
Group Practice PAC ID
5496667941
Professional Enrollment ID
I20090506000272
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 251 N CASS AVE STE 150

    WESTMONT, IL 605594501

    Phone: (630) 654-2515

    Fax: (630) 654-2516

    Type: Mailing

  • Pasquinelli Drive, Westmont, DuPage County, Illinois, 6051, United States

    WESTMONT, IL 605591276

    Phone: (630) 654-2515

    Fax: (630) 654-2516

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 3 Open Payments records for all available years, with a total value of $89.

Total Amount is formed as General ($89) + Research ($0) + Ownership ($0) = $89.

Last reported payment date: 2023-07-06 • Largest payer in this snapshot: IsoRay, Inc ($75).

Total Amount

$89

General + Research + Ownership

Payments

3

Total payment records

General Amount

$89

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-07-06

Latest reported date

Top Companies

Largest payers in this snapshot

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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
84153Psa (prostate specific antigen) measurement, total337210$0
36415Insertion of needle into vein for collection of blood sample285189$0
99213Established patient office or other outpatient visit, 20-29 minutes158147$0
99214Established patient office or other outpatient visit, 30-39 minutes5444$0
77470Special radiation treatment2929$0
View full utilization report →

Insurance plans in this area (ZIP 60559)

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Provider's Procedures

Unknown Individual performs procedures in Radiation Oncology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
RADIATION ONCOLOGYIL77263Management of radiation therapy, complex259235
RADIATION ONCOLOGYIL77300Calculation of radiation therapy dose339213
RADIATION ONCOLOGYIL81002Urinalysis, manual test158158

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

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1093712671; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Radiation Oncology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Westmont, Illinois for Unknown Individual; expand the address list for detail.
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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