Unknown Individual – Gynecologic Oncology Physician, NPI 1497744106

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Gynecologic Oncology Physician. They hold a License No. 036-055075 (IL). The NPI Number for Unknown Individual is 1497744106

Main info

Organization
Inactive
50 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497744106
Phone
(847) 746-4358
Address
2361 PAYSPHERE CIRCLE
Deactivation Date
30 August 2023

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8478724561
Graduation Year
1976 (50 years ago)
PAC ID
9830129014
Group Practice PAC ID
3274446596
Professional Enrollment ID
I20050817000504

Contacts

Secure Messaging
ctcamrmc@ctcac.allscriptsdirect.net
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 2361 PAYSPHERE CIRCLE

    CHICAGO, IL 60674

    Phone: (847) 746-4358

    Fax: (847) 234-0900

    Type: Location

  • Cancer Treatment Centers of America at Midwestern Regional Medical Center, 2520, Elisha Avenue, Zion, Illinois, 60099, United States

    ZION, IL 60099

    Phone: (847) 872-6259

    Fax: (847) 872-5716

    Type: Mailing

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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60674)

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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: 3274446596View full group profile
NameSpecialtyState
Thoracic SurgeryOK
Interventional Radiology, Diagnostic RadiologyIL
General Surgery, Surgical OncologyIL
Hematology/Oncology, Internal MedicineIL
Pulmonary DiseaseIL
Radiation OncologyIL
Registered Dietitian Or Nutrition ProfessionalNY
Medical OncologyIL
Nurse PractitionerIL
P A T H O L O G YIL

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1497744106 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Gynecologic Oncology Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see Chicago, Illinois on file for Unknown Individual alongside any extra practice locations.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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