Unknown Individual – Social Worker, NPI 1588646731

Unknown Individual is a healthcare provider. based in Oak park, Illinois. specializing in Social Worker. They hold a License No. 149002446 (IL). The NPI Number for Unknown Individual is 1588646731

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1588646731
Phone
(708) 848-3620
Address
1015 S CLARENCE AVE
Deactivation Date
9 May 2022

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3122364364
Graduation Year
1973 (53 years ago)
PAC ID
9032017439
Professional Enrollment ID
I20031223000117
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

  • Clarence Avenue, Berwyn, Cook County, Illinois, 60402, United States

    OAK PARK, IL 60304

    Phone: (708) 848-3620

    Type: Mailing

  • 671, North Wabash Avenue, River North, Near North Side, Chicago, North Chicago Township, Cook County, Illinois, 60611, United States

    ST JAMES CATHEDRAL COUNSELING CENTER

    CHICAGO, IL 606114752

    Phone: (312) 337-5874

    Fax: (312) 337-9243

    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 60304)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1588646731 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Social Worker. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Oak Park?
Unknown Individual currently maps to Oak Park, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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