Unknown Individual – Chiropractor, NPI 1104801554

Unknown Individual is a healthcare provider. based in Carol stream, Illinois. specializing in Chiropractor. The NPI Number for Unknown Individual is 1104801554

Main info

Organization
Inactive
23 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1104801554
Phone
(630) 653-2225
Address
26W276 GENEVA RD
Deactivation Date
26 June 2024

Doctor Profile

Medical School Name
NATIONAL UNIVERSITY OF ARTS AND SCIENCES, MEDICAL DEPARTMENT
Secondary Phone
-
Graduation Year
2003 (23 years ago)
PAC ID
6901861681
Professional Enrollment ID
I20041122000759
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

  • Entree Kitchen, 26W276, West Geneva Road, Geneva Road, Carol Stream, DuPage County, Illinois, 60188, United States

    SUITE C

    CAROL STREAM, IL 601882228

    Phone: (630) 653-2225

    Fax: (630) 653-2220

    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
98942Chiropractic manipulative treatment, 5 spinal regions37556$0
98941Chiropractic manipulative treatment, 3-4 spinal regions17323$0
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Insurance plans in this area (ZIP 60188)

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Provider's Procedures

Unknown Individual performs procedures in Chiropractor. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CHIROPRACTICIL98940Chiropractic manipulative treatment, 1-2 spinal regions9217

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1104801554.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Chiropractor in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Carol Stream?
Public fields place Unknown Individual around Carol Stream, Illinois. Always confirm the exact site before visiting.
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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