Unknown Individual – Psychiatry Physician, NPI 1649359175

Unknown Individual is a healthcare provider. based in Winfield, Illinois. specializing in Psychiatry Physician. They hold a License No. 036039087 (IL). The NPI Number for Unknown Individual is 1649359175

Main info

Organization
Inactive
66 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1649359175
Phone
(630) 933-4671
Address
27W 350 HIGLAKE RD
Deactivation Date
24 November 2021

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
6309334603
Graduation Year
1960 (66 years ago)
PAC ID
7012819451
Professional Enrollment ID
I20040126000025
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

Provider Addresses for Unknown Individual

  • 27W 350 HIGLAKE RD

    WINFIELD, IL 60190

    Phone: (630) 933-4671

    Fax: (630) 933-1933

    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)

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 60190)

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Provider's Procedures

Unknown Individual performs procedures in Psychiatry Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PSYCHIATRYIL90792Psychiatric diagnostic evaluation with medical services1313

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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 1649359175 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Winfield, Illinois; more addresses can appear in NPPES.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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