Unknown Individual – Anesthesiology Physician, NPI 1700824703

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Anesthesiology Physician. The NPI Number for Unknown Individual is 1700824703

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1700824703
Phone
(773) 265-4336
Address
3435 W VAN BUREN ST
Deactivation Date
2 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1973 (53 years ago)
PAC ID
8022910413
Professional Enrollment ID
I20040126000297
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • RML Specialty Hospital, 3435, West Van Buren Street, East Garfield Park, Chicago, Cook County, Illinois, 60624, United States

    CHICAGO, IL 606243312

    Phone: (773) 265-4336

    Fax: (773) 265-3607

    Type: Location

  • 6951, Fieldstone Drive, Fieldstone, Burr Ridge, DuPage County, Illinois, 60527, United States

    BURR RIDGE, IL 605275295

    Phone: (630) 325-1047

    Fax: (630) 325-1054

    Type: Mailing

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.

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Medicare Enrollment & Revalidation

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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)

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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 60624)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1700824703 — is the standard way to identify this listing.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Chicago, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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