Unknown Individual – Chiropractor, NPI 1366519662

Unknown Individual is a healthcare provider. based in Lansing, Illinois. specializing in Chiropractor. The NPI Number for Unknown Individual is 1366519662

Main info

Organization
Inactive
24 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1366519662
Phone
(708) 418-9106
Address
3232 RIDGE ROAD
Deactivation Date
5 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7084189106
Graduation Year
2002 (24 years ago)
PAC ID
6204014954
Professional Enrollment ID
I20110628000263
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 3232, Ridge Road, Lansing, Thornton Township, Cook County, Illinois, 60438, United States

    STE 4

    LANSING, IL 604383190

    Phone: (708) 418-9106

    Fax: (708) 418-9107

    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.

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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 60438)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1366519662?
NPI 1366519662 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Chiropractor. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Lansing?
Public fields place Unknown Individual around Lansing, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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