Unknown Individual – Clinical Psychologist, NPI 1144333626

Unknown Individual is a healthcare provider. based in Oakbrook terrace, Illinois. specializing in Clinical Psychologist. They hold a License No. 071-1908 (IL). The NPI Number for Unknown Individual is 1144333626

Main info

Organization
Inactive
54 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1144333626
Phone
(630) 691-1114
Address
1S376 SUMMIT AVE
Deactivation Date
9 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306911114
Graduation Year
1972 (54 years ago)
PAC ID
1759454572
Professional Enrollment ID
I20080725000721
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

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Provider Addresses for Unknown Individual

  • Summit Avenue, Oakbrook Terrace, DuPage County, Illinois, 60181, United States

    COURT D

    OAKBROOK TERRACE, IL 601813985

    Phone: (630) 691-1114

    Fax: (360) 691-1132

    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 60181)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1144333626.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Oakbrook Terrace, Illinois for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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