Unknown Individual – Anesthesiology Physician, NPI 1225017965

Unknown Individual is a healthcare provider. based in Lake forest, Illinois. specializing in Anesthesiology Physician. The NPI Number for Unknown Individual is 1225017965

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225017965
Phone
Not provided
Address
PO BOX 689
Deactivation Date
16 January 2025

Doctor Profile

Medical School Name
AT STILL UNIVERSITY OF HEALTH SCIENCES, COLLEGE OF OSTEO MED, KIRKSVILLE
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
4486647856
Professional Enrollment ID
I20070411000257
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Loading map...

Provider Addresses for Unknown Individual

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    LAKE FOREST, IL 600450689

    Phone:

    Type: Mailing

  • UnityPoint Health - Trinity, 2701, 17th Street, Rock Island, Rock Island County, Illinois, 61201, United States

    ROCK ISLAND, IL 612015351

    Phone: (309) 779-5000

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 60045)

Loading plans...

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
ANESTHESIOLOGYIL62311Injections of substances into lower or sacral spine2919

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1225017965.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Lake Forest, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

Similar Providers

IM SUK CHOI (M.D.)

Anesthesiology Physician
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
NPI: 1730189994

JOHN C HENDRICKS (MD)

Anesthesiology Physician
200 Hawkins Dr
NPI: 1750381935

JOANNE A MICHAELSON (MD)

Anesthesiology Physician
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
NPI: 1679552269

JOANNE A MICHAELSON MD

Anesthesiology Physician
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
NPI: 1497734099

VICTOR J BARNEY (MD)

Anesthesiology Physician
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
NPI: 1578542239

JEFFREY F FULLENKAMP DO LTD

Anesthesiology Physician
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
NPI: 1831178573

VICTOR J BARNEY MD PC

Anesthesiology Physician
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
NPI: 1093794752

DONALD A NORMOYLE (MD)

Anesthesiology Physician
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
NPI: 1760461438

MARY FRANCIS M NUGUID M D P C

Anesthesiology Physician
PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States
NPI: 1871572529