Unknown Individual – General Practice Physician, NPI 1346546496

Unknown Individual is a healthcare provider. based in Barrington hills, Illinois. specializing in General Practice Physician. They hold a License No. 036042826 (IL). The NPI Number for Unknown Individual is 1346546496

Main info

Organization
Inactive
61 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1346546496
Phone
(847) 658-7383
Address
10550 BRAEBURN RD
Deactivation Date
26 December 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472909122
Graduation Year
1965 (61 years ago)
PAC ID
0446419659
Group Practice PAC ID
5597825117
Professional Enrollment ID
I20120307000763
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 10550 BRAEBURN RD

    BARRINGTON HILLS, IL 60010

    Phone: (847) 658-7383

    Type: Mailing

  • 3525 W. PETERSON AVE

    SUITE 210

    CHICAGO, IL 60659

    Phone: (773) 293-6671

    Fax: (773) 961-8102

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 60010)

Loading plans...

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: 5597825117View full group profile
NameSpecialtyState
Family PracticeIL
-IL

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1346546496 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note General Practice Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Barrington Hills, Illinois for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

Similar Providers

ALLEN J RUSSELL (M.D.)

Diagnostic Radiology Physician
6601 COLLEGE BLVD STE 120
NPI: 1184627945

DR. JAMES E. JR. PROBST (D.O.)

Emergency Medicine Physician
2250, North Illinois Avenue, Carbondale, Jackson County, Illinois, 62901, United States
NPI: 1194729517

DR. PRASOP RATTANANONT (M.D)

General Practice Physician
Northwest 2nd Street, Aledo, Mercer County, Illinois, 61231, United States
NPI: 1154326072

Unknown Individual

General Practice Physician
Gibson Area Hospital & Health Services, 1120, North Melvin Street, Gibson City, Ford County, Illinois, 60936, United States
NPI: 1487659074

VENANCIO DECASTRO (M.D.)

General Practice Physician
600, West Lake Cook Road, Buffalo Grove, Wheeling Township, Cook County, Illinois, 60089, United States
NPI: 1205832243

MR. EDDIE LYNN PAULK (D.O.)

Internal Medicine Physician
6810 STATE ROUTE 162 BOX 215
NPI: 1003813601