Unknown Individual – Psychiatry Physician, NPI 1669488946

Unknown Individual is a healthcare provider. based in Barrington, Illinois. specializing in Psychiatry Physician. They hold a License No. 036085205 (IL). The NPI Number for Unknown Individual is 1669488946

Main info

Organization
Inactive
32 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1669488946
Phone
(847) 842-0771
Address
101 LIONS DR
Deactivation Date
1 November 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6302600600
Graduation Year
1994 (32 years ago)
PAC ID
9537346960
Group Practice PAC ID
5890696231
Professional Enrollment ID
I20110610000409
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

  • Lions Parkway, Barrington, Cuba, Lake County, Illinois, 60010, United States

    SUITE 119

    BARRINGTON, IL 600103181

    Phone: (847) 842-0771

    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)

CMS reports 2 Open Payments records for all available years, with a total value of $140.

Total Amount is formed as General ($140) + Research ($0) + Ownership ($0) = $140.

Last reported payment date: 2024-05-02 • Largest payer in this snapshot: Teva Pharmaceuticals USA, Inc. ($123).

Total Amount

$140

General + Research + Ownership

Payments

2

Total payment records

General Amount

$140

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

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 60010)

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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: 5890696231View full group profile
NameSpecialtyState
General SurgeryIL
Vascular SurgeryIL
-IL
Nurse PractitionerIL
-IL
C H I R O P R A C T I CIL
Family PracticeIL
Physical Medicine And RehabilitationCO
-IL
Hospitalist, Family PracticeIL

Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1669488946.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Barrington, Illinois for Unknown Individual based on available NPPES addresses.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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