Unknown Individual – Chiropractor, NPI 1669470928

Unknown Individual is a healthcare provider. based in Lake villa, Illinois. specializing in Chiropractor. They hold a License No. 38003686 (IL). The NPI Number for Unknown Individual is 1669470928

Main info

Organization
Inactive
49 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1669470928
Phone
(847) 546-5255
Address
1512 N CEDAR LAKE RD
Deactivation Date
9 January 2025

Doctor Profile

Medical School Name
NATIONAL COLLEGE OF CHIROPRACTIC
Secondary Phone
8475465255
Graduation Year
1977 (49 years ago)
PAC ID
2961591029
Professional Enrollment ID
I20071128000111
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

Loading map...

Provider Addresses for Unknown Individual

  • Cedar Lake Rd, Lake Villa, Lake, Illinois, 460046, United States

    LAKE VILLA, IL 600466404

    Phone: (847) 546-5255

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 60046)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1669470928.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Chiropractor. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Lake Villa, 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.

Similar Providers

704, Benton Court, Painted Lakes Subdivision, Lake Villa, Lake County, Illinois, 60046, United States
NPI: 1699798355
US Highway 45, Lindenhurst, Lake County, Illinois, 60046, United States
NPI: 1285748939
36735 N Il Route 83
NPI: 1982700373
36735 N IL ROUTE 83
NPI: 1134217151
118, South Milwaukee Avenue, Lake Villa, Lake County, Illinois, 60046, United States
NPI: 1457404261
538, Blazing Star Drive, Lake Villa, Lake County, Illinois, 60046, United States
NPI: 1245377324
36735 N IL ROUTE 83
NPI: 1295859569
500 PARK AVE
NPI: 1801010665
118 S MILWAUKEE AVE
NPI: 1407076649