Unknown Individual – Gastroenterology Physician, NPI 1760443261

Unknown Individual is a healthcare provider. based in Highland park, Illinois. specializing in Gastroenterology Physician. They hold a License No. 036-045836 (IL). The NPI Number for Unknown Individual is 1760443261

Main info

Organization
Inactive
55 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1760443261
Phone
(847) 433-6990
Address
1770 1ST ST
Deactivation Date
1 May 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1971 (55 years ago)
PAC ID
5597813683
Professional Enrollment ID
I20090429000327
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

  • 1770, 1st Street, Downtown Highland Park, Highland Park, Illinois, 60035, United States

    SUITE 300

    HIGHLAND PARK, IL 600353200

    Phone: (847) 433-6990

    Fax: (847) 433-8738

    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 15 Open Payments records for all available years, with a total value of $267.

Total Amount is formed as General ($267) + Research ($0) + Ownership ($0) = $267.

Last reported payment date: 2023-05-31 • Largest payer in this snapshot: Takeda Pharmaceuticals U.S.A., Inc. ($52).

Total Amount

$267

General + Research + Ownership

Payments

15

Total payment records

General Amount

$267

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-31

Latest reported date

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.

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

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes17596$0
99214Established patient office or other outpatient visit, 30-39 minutes11076$0
36415Insertion of needle into vein for collection of blood sample3533$0
82274Stool analysis for blood, by fecal hemoglobin determination by immunoassay3030$0
G0439Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit2929$0
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Insurance plans in this area (ZIP 60035)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1760443261 — is the standard way to identify this listing.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Gastroenterology Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Highland Park, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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