Unknown Individual – Nephrology Physician, NPI 1598731317

Unknown Individual is a healthcare provider. based in Hoffman estates, Illinois. specializing in Nephrology Physician. They hold a License No. 036051280 (IL). The NPI Number for Unknown Individual is 1598731317

Main info

Organization
Inactive
58 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1598731317
Phone
(847) 490-4222
Address
1555 Barrington Rd
Deactivation Date
7 October 2022

Doctor Profile

Medical School Name
CHICAGO COLLEGE OF MEDICINE AND SURGERY
Secondary Phone
-
Graduation Year
1968 (58 years ago)
PAC ID
2769537059
Group Practice PAC ID
7517863178
Professional Enrollment ID
I20090910000407

Contacts

Secure Messaging
kenneth.miller.1@380.direct.athenahealth.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1555 Barrington Rd

    Hoffman Estates, IL 601691019

    Phone: (847) 490-4222

    Type: Location

  • 1480, Renaissance Drive, Park Ridge, Cook County, Illinois, 60068, United States

    SUITE 211

    PARK RIDGE, IL 600681332

    Phone: (813) 890-8004

    Fax: (813) 290-9691

    Type: Mailing

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 60169)

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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: 7517863178View full group profile
NameSpecialtyState
-ARMED FORCES EUROPE
Family PracticeIL
-IL
Geriatric Medicine, Internal MedicineIL
Internal MedicineIL
Geriatric Medicine, Family PracticeIL
Hospitalist, Internal MedicineIL
N E U R O L O G YIL
-IL
Internal MedicineIL

Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1598731317 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Nephrology Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Hoffman Estates, Illinois. Check all listed addresses for suites or satellite offices.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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