Unknown Individual – Family Medicine Physician, NPI 1689666992

Unknown Individual is a healthcare provider. based in Buffalo grove, Illinois. specializing in Family Medicine Physician. They hold a License No. 45553020 (WI). The NPI Number for Unknown Individual is 1689666992

Main info

Organization
Inactive
31 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1689666992
Phone
(630) 776-8832
Address
150 W HALF DAY RD
Deactivation Date
15 October 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1995 (31 years ago)
PAC ID
7810914843
Professional Enrollment ID
I20051031000209
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 150, West Half Day Road, Prairie View, Buffalo Grove, Illinois, 60089, United States

    SUITE NUMBER 206

    BUFFALO GROVE, IL 600896591

    Phone: (630) 776-8832

    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.

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99214Established patient office or other outpatient visit, 30-39 minutes8821$0
99497Advance care planning, first 30 minutes1414$0
G0442Annual alcohol misuse screening, 5 to 15 minutes1414$0
G0446Annual, face-to-face intensive behavioral therapy for cardiovascular disease, individual, 15 minutes1414$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit1313$0
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Insurance plans in this area (ZIP 60089)

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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 1689666992 for Unknown Individual.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Buffalo Grove, 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.