Unknown Individual – Diagnostic Ultrasound Physician, NPI 1497755151

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Diagnostic Ultrasound Physician. They hold a License No. 36-061021 (IL). The NPI Number for Unknown Individual is 1497755151

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1497755151
Phone
(773) 262-5400
Address
6415 NO CALFORNIA AVE
Deactivation Date
6 October 2022

Doctor Profile

Medical School Name
MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE
Secondary Phone
8476026277
Graduation Year
1977 (49 years ago)
PAC ID
8921071150
Group Practice PAC ID
0244324804
Professional Enrollment ID
I20040817000157
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 6415 NO CALFORNIA AVE

    CHICAGO, IL 606455208

    Phone: (773) 262-5400

    Fax: (773) 743-0136

    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.

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

Insurance plans in this area (ZIP 60645)

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Provider's Procedures

Unknown Individual performs procedures in Diagnostic Ultrasound Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
NUCLEAR MEDICINEIL71010X-ray of chest, 1 view, front21591602
NUCLEAR MEDICINEIL73110X-ray of wrist, minimum of 3 views8077
NUCLEAR MEDICINEIL73562X-ray of knee, 3 views298230
NUCLEAR MEDICINEIL93926Ultrasound study of arteries and arterial grafts of one leg or limited9997
NUCLEAR MEDICINEIL93971Ultrasound scan of veins of one arm or leg or limited including assessment of compression and functional maneuvers685645

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: 0244324804View full group profile
NameSpecialtyState
-IL

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1497755151 uniquely identifies Unknown Individual in U.S. healthcare data.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Diagnostic Ultrasound Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Chicago, Illinois?
For routing, start with Chicago, Illinois for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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