Unknown Individual – Psychologist, NPI 1821110826

Unknown Individual is a healthcare provider. based in Libertyville, Illinois. specializing in Psychologist. The NPI Number for Unknown Individual is 1821110826

Main info

Organization
Inactive
35 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1821110826
Phone
(847) 247-0816
Address
1590 S MILWAUKEE AVE
Deactivation Date
29 January 2026

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8472470816
Graduation Year
1991 (35 years ago)
PAC ID
1850439886
Professional Enrollment ID
I20091112000325
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

Provider Addresses for Unknown Individual

  • 1590 S MILWAUKEE AVE

    SUITE 204

    LIBERTYVILLE, IL 600483793

    Phone: (847) 247-0816

    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.

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Medicare Enrollment & Revalidation

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 60048)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1821110826.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Psychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Libertyville, Illinois?
If you are local to Libertyville, Illinois, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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