Unknown Individual – Clinical Social Worker, NPI 1295833267

Unknown Individual is a healthcare provider. based in Villa park, Illinois. specializing in Clinical Social Worker. They hold a License No. 149004362 (IL). The NPI Number for Unknown Individual is 1295833267

Main info

Organization
Inactive
36 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1295833267
Phone
(630) 424-9482
Address
PO BOX 5970
Deactivation Date
16 October 2025

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6304249204
Graduation Year
1990 (36 years ago)
PAC ID
5890981872
Group Practice PAC ID
5496740789
Professional Enrollment ID
I20101202000714
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

Provider Addresses for Unknown Individual

  • Villa Park Post Office, 1415, South Ardmore Avenue, Villa Park, DuPage County, Illinois, 60181, United States

    VILLA PARK, IL 601815312

    Phone: (630) 424-9482

    Fax: (630) 424-4783

    Type: Mailing

  • 2803 BUTTERFIELD RD STE 200

    OAK BROOK, IL 605231165

    Phone: (630) 424-9204

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
90837Psychotherapy, 1 hour15914$0
View full utilization report →

Insurance plans in this area (ZIP 60181)

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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: 5496740789View full group profile
NameSpecialtyState
Clinical Social WorkerIL
P S Y C H I A T R YIL
P S Y C H I A T R YIL
P S Y C H I A T R YIL
P S Y C H I A T R YIL
N E U R O P S Y C H I A T R YIL

Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1295833267 if you need a stable reference for Unknown Individual.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Villa Park, Illinois for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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