Unknown Individual – Physical Medicine & Rehabilitation Physician, NPI 1316930860

Unknown Individual is a healthcare provider. based in Naperville, Illinois. specializing in Physical Medicine & Rehabilitation Physician. They hold a License No. 336063256(36102813) (IL). The NPI Number for Unknown Individual is 1316930860

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1316930860
Phone
(630) 920-4019
Address
4052 TEAK CIR
Deactivation Date
6 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1984 (42 years ago)
PAC ID
5294742011
Professional Enrollment ID
I20060320000157
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

  • 4052, Teak Circle, Naperville, Will County, Illinois, 60564, United States

    NAPERVILLE, IL 605641103

    Phone: (630) 920-4019

    Fax: (630) 952-1447

    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
99309Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes700265$0
99308Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 15 minutes348148$0
99306Initial nursing facility care with high level of medical decision making, per day, if using time, at least 45 minutes201155$0
99305Initial nursing facility care with moderate level of medical decision making, per day, if using time, at least 35 minutes9591$0
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Insurance plans in this area (ZIP 60564)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1316930860?
NPI 1316930860 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Physical Medicine & Rehabilitation Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Naperville, Illinois as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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