Unknown Individual – Diagnostic Radiology Physician, NPI 1194820167

Diagnostic Radiology Physician

Unknown Individual is a healthcare provider. based in Oak brook, Illinois. specializing in Diagnostic Radiology Physician. They hold a License No. 036084613 (IL). The NPI Number for Unknown Individual is 1194820167

Main info

Organization

Inactive

36 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1194820167

Phone

(773) 908-1529

Address

903 COMMERCE DR

Deactivation Date

15 January 2026

Doctor Profile

Medical School Name

INDIANA UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

7083836200

Graduation Year

1990 (36 years ago)

PAC ID

2062486285

Group Practice PAC ID

7315849817

Professional Enrollment ID

I20100813000895

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience24

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

903, Commerce Drive, Oak Brook, DuPage County, Illinois, 60523, United States
SUITE 333
OAK BROOK, IL 605231969
Phone: (773) 908-1529
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 60523)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Radiology Physician. See the list of HCPCS codes below.

Specialty	Practice State	HCPCS Code	Description	Service Count	Beneficiary Count
DIAGNOSTIC RADIOLOGY	IL	71250	CT scan chest	13	12
DIAGNOSTIC RADIOLOGY	IL	73562	X-ray of knee, 3 views	16	12
DIAGNOSTIC RADIOLOGY	IL	74177	CT scan of abdomen and pelvis with contrast	35	35
DIAGNOSTIC RADIOLOGY	IL	76942	Ultrasonic guidance imaging supervision and interpretation for insertion of needle	32	31
DIAGNOSTIC RADIOLOGY	IL	77012	Radiological supervision and interpretation of CT guidance for needle insertion	11	11

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: 7315849817View full group profile

Name	Specialty	State
WAYDE HITOSHI NAGAMINE (M.D.)	-	IL
MARK CHOI (DO)	-	IL

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?

Use NPI 1194820167 when you need to reference Unknown Individual in forms, claims, or directories.

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 does Unknown Individual treat or focus on?

Patients typically see Unknown Individual under the specialty Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.

Where does public data place Unknown Individual?

The snapshot lists Oak Brook, Illinois for Unknown Individual; download NPPES for the complete set.

What if Oak Brook, Illinois seems incomplete?

Street-level detail can be omitted — open the full address list for this NPI.