Unknown Individual – Adult Medicine Physician, NPI 1225192818

Unknown Individual is a healthcare provider. based in Aurora, Illinois. specializing in Adult Medicine Physician. They hold a License No. 036 034780 (IL). The NPI Number for Unknown Individual is 1225192818

Main info

Organization
Inactive
70 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1225192818
Phone
(630) 892-7629
Address
1300 N HIGHLAND
Deactivation Date
19 July 2023

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
-
Graduation Year
1956 (70 years ago)
PAC ID
2961558317
Professional Enrollment ID
I20090925000574
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

  • 1300, North Highland Avenue, Aurora, Aurora Township, Kane County, Illinois, 60506, United States

    STE 10

    AURORA, IL 60506

    Phone: (630) 892-7629

    Fax: (630) 892-7690

    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
99214Established patient office or other outpatient visit, 30-39 minutes7329$0
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Insurance plans in this area (ZIP 60506)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1225192818 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Adult Medicine Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Aurora, Illinois?
If you are local to Aurora, Illinois, Unknown Individual may be relevant to your search.
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.

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