Unknown Individual – Neurology Physician, NPI 1275572604

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Neurology Physician. They hold a License No. 36060438 (IL). The NPI Number for Unknown Individual is 1275572604

Main info

Organization
Inactive
62 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275572604
Phone
(773) 775-9234
Address
2701 W 68TH ST
Deactivation Date
6 March 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1964 (62 years ago)
PAC ID
1557250974
Professional Enrollment ID
I20041220001040
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

  • Holy Cross Hospital, 2701, West 68th Street, Chicago Lawn, Chicago, Lake Township, Cook County, Illinois, 60629, United States

    THIRD FLOOR SOUTH PAVILLION

    CHICAGO, IL 606291813

    Phone: (773) 775-9234

    Fax: (773) 775-9506

    Type: Location

  • 2356, Mohawk Lane, Indian Ridge, Glenview, Northfield Township, Cook County, Illinois, 60026, United States

    GLENVIEW, IL 60026

    Phone: (773) 888-5526

    Fax: (847) 272-5822

    Type: Mailing

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.

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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
99232Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes542119$0
99233Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes17783$0
99223Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes119119$0
99215Established patient office or other outpatient visit, 40-54 minutes8343$0
95819Measurement of brain wave activity (eeg), awake and asleep6159$0
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Insurance plans in this area (ZIP 60629)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1275572604.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Neurology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Chicago, Illinois.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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