Unknown Individual – Obstetrics & Gynecology Physician, NPI 1528017688

Unknown Individual is a healthcare provider. based in Hinsdale, Illinois. specializing in Obstetrics & Gynecology Physician. They hold a License No. 36046678 (IL). The NPI Number for Unknown Individual is 1528017688

Main info

Organization
Inactive
64 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1528017688
Phone
(630) 856-6865
Address
911 N ELM ST
Deactivation Date
26 June 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1962 (64 years ago)
PAC ID
1052573839
Professional Enrollment ID
I20120425000104
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 911, North Elm Street, Fullersburg, Hinsdale, DuPage County, Illinois, 60521, United States

    SUITE 215

    HINSDALE, IL 605213634

    Phone: (630) 856-6865

    Fax: (630) 856-6813

    Type: Mailing

  • 135, North Oak Street, Hinsdale, DuPage County, Illinois, 60521, United States

    HINSDALE, IL 605213860

    Phone: (630) 856-8900

    Fax: (630) 856-8923

    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.

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.

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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 60521)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1528017688 in the public NPI dataset.
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 Obstetrics & Gynecology Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Hinsdale, Illinois may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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