Unknown Individual – Podiatrist, NPI 1811996010

Unknown Individual is a healthcare provider. based in Elgin, Illinois. specializing in Podiatrist. They hold a License No. 163547 (IL). The NPI Number for Unknown Individual is 1811996010

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1811996010
Phone
(847) 468-1994
Address
1750 N RANDALL RD
Deactivation Date
13 March 2025

Doctor Profile

Medical School Name
WILLIAM M. SCHOLL COLLEGE OF PODIATRIC MEDICINE
Secondary Phone
8474681994
Graduation Year
1982 (44 years ago)
PAC ID
3577463470
Group Practice PAC ID
6204000300
Professional Enrollment ID
I20040121000650
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

  • 1750, Randall Road, Elgin, Kane County, Illinois, 60123, United States

    SUITE 160

    ELGIN, IL 601237900

    Phone: (847) 468-1994

    Fax: (847) 468-1963

    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.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60123)

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Provider's Procedures

Unknown Individual performs procedures in Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL11056Removal of 2 to 4 thickened skin growths10277

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: 6204000300View full group profile
NameSpecialtyState
P O D I A T R YIL
P O D I A T R YIL
P O D I A T R YIL

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 1811996010.
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 best known for clinically?
Directory data describes Unknown Individual with Podiatrist. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Elgin, Illinois; more addresses can appear in NPPES.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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