Unknown Individual – Anesthesiology Physician, NPI 1194756973

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Anesthesiology Physician. They hold a License No. 036-050409 (IL). The NPI Number for Unknown Individual is 1194756973

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1194756973
Phone
Not provided
Address
1233 RELIABLE PKWY
Deactivation Date
21 April 2021

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7732576672
Graduation Year
1968 (58 years ago)
PAC ID
2860381274
Group Practice PAC ID
5991600405
Professional Enrollment ID
I20040313000098
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

  • 1233 RELIABLE PKWY

    CHICAGO, IL 606860001

    Phone:

    Type: Mailing

  • MacNeal Hospital, 3249, Oak Park Avenue, Berwyn, Cook County, Illinois, 60402, United States

    ANESTHESIA DEPARTMENT

    BERWYN, IL 604023429

    Phone: (708) 783-3667

    Type: Location

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 60686)

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Provider's Procedures

Unknown Individual performs procedures in Anesthesiology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
ANESTHESIOLOGYIL00142Anesthesia for lens surgery2523

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: 5991600405View full group profile
NameSpecialtyState
DR. PUNEET DHILLON GREWAL (M.D.)
Cardiovascular Disease (Cardiology), Internal MedicineIL
DR. AMAR PRAVIN SHAH (MD)
Diagnostic Radiology, Interventional RadiologyIL
DR. NANCY A SIBIGTROTH (M.D.)
Radiation Oncology, Diagnostic RadiologyIL
DR. MOHAMMED AZHER KASSEM (M.D)
Hematology/Oncology, Internal MedicineIL
MRS. UZMA NAEEM SYED (M.D)
Endocrinology, Internal MedicineIL
DR. SUNITA SINGH (M.D.)
Internal MedicineIL
DR. NAVEED K MALLICK (MD)
Internal Medicine, Sleep MedicineIL
YOLANDA SANKEY (FNP-BC)
-IL
DR. SHAN-CHING YING (M.D.)
P A T H O L O G YIL
DR. THOMAS ROBERT DEKOJ (M.D.)
General Surgery, Colorectal Surgery (Proctology)IL

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1194756973.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Anesthesiology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Chicago, Illinois in our summary view.
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.

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