Unknown Individual – Clinical Neuropsychologist, NPI 1275947236

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Clinical Neuropsychologist. They hold a License No. 071008839 (IL). The NPI Number for Unknown Individual is 1275947236

Main info

Organization
Inactive
15 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1275947236
Phone
(847) 421-0122
Address
33 N DEARBORN ST STE 1600
Deactivation Date
15 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2152351600
Graduation Year
2011 (15 years ago)
PAC ID
6507154796
Group Practice PAC ID
5597743344
Professional Enrollment ID
I20161003002646
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 33 N DEARBORN ST STE 1600

    C/O DR. MATTHEW RICHMOND

    CHICAGO, IL 606023102

    Phone: (847) 421-0122

    Type: Mailing

  • 815 Chester Pike

    Prospect Park, PA 190762322

    Phone: (973) 264-0023

    Fax: (973) 264-0022

    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 60602)

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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: 5597743344View full group profile
NameSpecialtyState
Clinical PsychologistMD
Nurse PractitionerPA
Clinical PsychologistPA
Nurse PractitionerPA
Nurse PractitionerDE
-DE
-PA
-NJ
Nurse PractitionerDE
Clinical PsychologistDE

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1275947236; it appears in the national provider directory.
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.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Chicago, Illinois for Unknown Individual; download NPPES for the complete set.
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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