Unknown Individual – Otolaryngology Physician, NPI 1437214269

Unknown Individual is a healthcare provider. based in Burr ridge, Illinois. specializing in Otolaryngology Physician. The NPI Number for Unknown Individual is 1437214269

Main info

Organization
Inactive
47 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1437214269
Phone
(773) 834-4064
Address
180 HARVESTER DR STE 110
Deactivation Date
16 January 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3123729355
Graduation Year
1979 (47 years ago)
PAC ID
7416145073
Group Practice PAC ID
1254333867
Professional Enrollment ID
I20101223000096
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

  • Harvester Drive, Burr Ridge, DuPage County, Illinois, 65027, United States

    BURR RIDGE, IL 605276686

    Phone: (773) 834-4064

    Type: Location

  • 5841 S MARYLAND AVE # MC1099

    CHICAGO, IL 606371447

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 38 Open Payments records for all available years, with a total value of $1,098.

Total Amount is formed as General ($1,098) + Research ($0) + Ownership ($0) = $1,098.

Last reported payment date: 2024-04-05 • Largest payer in this snapshot: Optinose US, Inc. ($238).

Total Amount

$1,098

General + Research + Ownership

Payments

38

Total payment records

General Amount

$1,098

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-05

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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
94010Test to measure expiratory airflow and volume2012$0
View full utilization report →

Insurance plans in this area (ZIP 60527)

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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: 1254333867View full group profile
NameSpecialtyState
Physician AssistantIL
Qualified Speech Language PathologistIL
O T O L A R Y N G O L O G YIL

Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1437214269.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Otolaryngology Physician in this dataset. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Burr Ridge, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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