Unknown Individual – Family Medicine Physician, NPI 1548225212

Unknown Individual is a healthcare provider. based in Oak lawn, Illinois. specializing in Family Medicine Physician. They hold a License No. 036043488 (IL). The NPI Number for Unknown Individual is 1548225212

Main info

Organization
Inactive
57 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1548225212
Phone
(708) 424-8070
Address
5669 W 95TH STREET
Deactivation Date
20 February 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1969 (57 years ago)
PAC ID
5092627638
Professional Enrollment ID
I20090716000605
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

  • West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    OAK LAWN, IL 60453

    Phone: (708) 424-8070

    Fax: (708) 423-3370

    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)

CMS reports 36 Open Payments records for all available years, with a total value of $656.

Total Amount is formed as General ($656) + Research ($0) + Ownership ($0) = $656.

Last reported payment date: 2024-04-10 • Largest payer in this snapshot: ABBVIE INC. ($186).

Total Amount

$656

General + Research + Ownership

Payments

36

Total payment records

General Amount

$656

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-04-10

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
99214Established patient office or other outpatient visit, 30-39 minutes28384$0
36415Insertion of needle into vein for collection of blood sample26177$0
99213Established patient office or other outpatient visit, 20-29 minutes23570$0
93880Ultrasound of both sides of head and neck blood flow2626$0
93306Ultrasound of heart with color-depicted blood flow, rate, direction and valve function2524$0
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Insurance plans in this area (ZIP 60453)

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Provider's Procedures

Unknown Individual performs procedures in Family Medicine Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
FAMILY MEDICINEIL93922Ultrasound study of arteries of both arms and legs1111
FAMILY MEDICINEIL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration1111

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 1548225212 in the public NPI dataset.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Oak Lawn, Illinois as a primary anchor for Unknown Individual unless the record lists multiple sites.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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