Unknown Individual – Chiropractor, NPI 1699879825

Unknown Individual is a healthcare provider. based in Marion, Illinois. specializing in CHIROPRACTIC. They hold a License No. 038004209 (IL). The NPI Number for Unknown Individual is 1699879825

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1699879825
Phone
(618) 687-2396
Address
4501 W DEYOUNG ST
Deactivation Date
2 April 2026

Doctor Profile

Medical School Name
LOGAN COLLEGE OF CHIROPRACTIC
Secondary Phone
6189939113
Graduation Year
1980 (46 years ago)
PAC ID
9739160250
Professional Enrollment ID
I20110411000513
Address ID
IL629596360MA4501XSTXX403
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

2,145 CHIROPRACTIC in IL

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Provider Addresses for Unknown Individual

  • 4501, West Deyoung Street, Marion, Williamson County, Illinois, 62959, United States

    STE B-105

    MARION, IL 629596360

    Phone: (618) 687-2396

    Fax: (618) 684-5870

    Type: Mailing

  • 1010, North 14th Street, Murphysboro, Jackson County, Illinois, 62966, United States

    MURPHYSBORO, IL 62966

    Phone: (618) 687-2396

    Fax: (618) 684-5870

    Type: Location

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
98941Chiropractic manipulative treatment, 3-4 spinal regions44825$0
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Insurance plans in this area (ZIP 62959)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1699879825.
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's specialty?
The listing groups Unknown Individual with Chiropractor. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Marion, Illinois may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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