Unknown Individual – Family Medicine Physician, NPI 1457344061

Unknown Individual is a healthcare provider. based in Oak lawn, Illinois. specializing in Family Medicine Physician. The NPI Number for Unknown Individual is 1457344061

Main info

Organization
Inactive
47 Years Of Experience
Name
Unknown Individual
NPI
1457344061
Phone
(708) 636-5151
Address
10448 S PULASKI RD
Deactivation Date
1 May 2024

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
7086365151
Graduation Year
1979 (47 years ago)
PAC ID
9032240536
Professional Enrollment ID
I20100628000381
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

  • 10448, South Pulaski Road, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    SUITE 11

    OAK LAWN, IL 604534895

    Phone: (708) 636-5151

    Fax: (708) 636-5152

    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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes20046$0
36415Insertion of needle into vein for collection of blood sample2013$0
96372Injection of drug or substance under skin or into muscle1712$0
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Insurance plans in this area (ZIP 60453)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1457344061?
NPI 1457344061 belongs to Unknown Individual; compare other details if you need extra assurance.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Oak Lawn, Illinois as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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