Unknown Individual – Critical Care Medicine (Internal Medicine) Physician, NPI 1578781977

Unknown Individual is a healthcare provider. based in Westmont, Illinois. specializing in Critical Care Medicine (Internal Medicine) Physician. They hold a License No. 036116957 (IL). The NPI Number for Unknown Individual is 1578781977

Main info

Organization
Inactive
22 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1578781977
Phone
(866) 871-5737
Address
700 E OGDEN AVE
Deactivation Date
29 March 2023

Doctor Profile

Medical School Name
UNIVERSITY OF WISCONSIN SCHOOL OF MEDICINE
Secondary Phone
7082744900
Graduation Year
2004 (22 years ago)
PAC ID
7214026871
Group Practice PAC ID
5799048526
Professional Enrollment ID
I20071204000688
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 700 E OGDEN AVE

    SUITE 304

    WESTMONT, IL 605595569

    Phone: (866) 871-5737

    Fax: (630) 522-0843

    Type: Mailing

  • 11900 SOUTHWEST HWY

    PALOS PARK, IL 604641200

    Phone: (708) 274-4900

    Fax: (708) 274-4949

    Type: Location

  • 12251 S 80th Ave

    Palos Heights, IL 604631290

    Phone: (708) 923-3388

    Type: Location

  • 10604 Southwest Hwy Ste 107

    Chicago Ridge, IL 604152717

    Phone: (708) 422-0636

    Fax: (708) 371-9330

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $77.

Total Amount is formed as General ($77) + Research ($0) + Ownership ($0) = $77.

Last reported payment date: 2023-03-09 • Largest payer in this snapshot: Actelion Pharmaceuticals US, Inc. ($77).

Total Amount

$77

General + Research + Ownership

Payments

1

Total payment records

General Amount

$77

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-03-09

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.

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

Insurance plans in this area (ZIP 60559)

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Provider's Procedures

Unknown Individual performs procedures in Critical Care Medicine (Internal Medicine) Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
INTERNAL MEDICINEIL94060Measurement and graphic recording of the amount and speed of breathed air, before and following medication administration5857
INTERNAL MEDICINEIL94727Determination of lung volumes using gas dilution or washout1413

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: 5799048526View full group profile
NameSpecialtyState
Nurse PractitionerIL
Pulmonary DiseaseIL
Pulmonary Disease, Critical Care (Intensivists), Sleep MedicineIL
Certified Clinical Nurse Specialist (Cns)IN
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineIL
Internal MedicineIL
Pulmonary Disease, Critical Care (Intensivists), Internal MedicineIL
Critical Care (Intensivists), Internal Medicine, Pulmonary DiseaseIL
Nurse PractitionerIL
Critical Care (Intensivists), Pulmonary DiseaseIL

Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1578781977.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Critical Care Medicine (Internal Medicine) Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Westmont, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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Unknown Individual

Pulmonary Disease Physician
700, East Ogden Avenue, Westmont, DuPage County, Illinois, 60559, United States
NPI: 1942287115