Unknown Individual – Clinical Social Worker, NPI 1386982833

Unknown Individual is a healthcare provider. based in Wheaton, Illinois. specializing in Clinical Social Worker. They hold a License No. 149005337 (IL). The NPI Number for Unknown Individual is 1386982833

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1386982833
Phone
(630) 653-1717
Address
2100 MANCHESTER ROAD
Deactivation Date
19 March 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6306531717
Graduation Year
1987 (39 years ago)
PAC ID
0042500183
Group Practice PAC ID
5193612836
Professional Enrollment ID
I20160602001003
Data current as of
20 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

  • 2100 MANCHESTER ROAD

    SUITE 1510

    WHEATON, IL 60187

    Phone: (630) 653-1717

    Type: Mailing

  • 5 REVERE DRIVE

    SUITE 200

    NORTHBROOK, IL 600621500

    Phone: (630) 653-1717

    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.

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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 60187)

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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: 5193612836View full group profile

Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1386982833?
NPI 1386982833 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Wheaton?
Public fields place Unknown Individual around Wheaton, Illinois. Always confirm the exact site before visiting.
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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