Unknown Individual – Orthopaedic Surgery Physician, NPI 1649352485

Unknown Individual is a healthcare provider. based in Libertyville, Illinois. specializing in Orthopaedic Surgery Physician. They hold a License No. 036-082666 (IL). The NPI Number for Unknown Individual is 1649352485

Main info

Organization
Inactive
39 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1649352485
Phone
(847) 287-1511
Address
1926 DARNELL ST
Deactivation Date
30 August 2023

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
2243727880
Graduation Year
1987 (39 years ago)
PAC ID
3476623513
Group Practice PAC ID
6608946736
Professional Enrollment ID
I20100723000061

Contacts

FHIR Endpoint
https://epichir.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Secure Messaging
dzoellick234664@direct.myadvocateauroro.org
Secure Messaging
dzoellick234664@direct.myadvocateaurora.org
FHIR Endpoint
https://EpicFHIR.aurora.org/FHIR/MYAURORA/api/FHIR/DSTU2/
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1926 DARNELL ST

    LIBERTYVILLE, IL 600484331

    Phone: (847) 287-1511

    Fax: (847) 634-2608

    Type: Mailing

  • Corporate Woods Parkway, The Corporate Woods of Vernon Hills, Vernon Hills, Illinois, 60061, United States

    VERNON HILLS, IL 600613111

    Phone: (847) 634-9400

    Fax: (847) 634-2608

    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 60048)

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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: 6608946736View full group profile
NameSpecialtyState
SHENYA XAVIER
-IL
DR. JAY L. LEVIN (M.D.)
-IL
KENDALL BARBER (PT, DPT)
-IL

Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1649352485 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Orthopaedic Surgery Physician. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Libertyville, Illinois in the same public data insurers reference.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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