Unknown Individual – Hospitalist Physician, NPI 1326014812

Unknown Individual is a healthcare provider. based in Maywood, Illinois. specializing in Hospitalist Physician. They hold a License No. 36053155 (IL). The NPI Number for Unknown Individual is 1326014812

Main info

Organization
Inactive
51 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1326014812
Phone
(708) 216-8757
Address
2160 S FIRST AVE
Deactivation Date
8 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082169000
Graduation Year
1975 (51 years ago)
PAC ID
6608806674
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20050818000975
Data current as of
19 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

  • 2160 S FIRST AVE

    LUH - NORTH ENT., RM. 7604

    MAYWOOD, IL 60153

    Phone: (708) 216-8757

    Fax: (708) 216-1259

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60153)

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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: 3779488903View full group profile

Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1326014812 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Hospitalist Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Maywood?
Public fields place Unknown Individual around Maywood, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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