Unknown Individual – Neurology Physician, NPI 1831184431

Unknown Individual is a healthcare provider. based in Crest hill, Illinois. specializing in Neurology Physician. They hold a License No. 036-073240 (IL). The NPI Number for Unknown Individual is 1831184431

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831184431
Phone
(815) 741-9714
Address
2222 WEBER RD
Deactivation Date
19 October 2022

Doctor Profile

Medical School Name
UNIVERSITY OF ILLINOIS COLLEGE OF MED (CHI/PEOR/ROCK/CHM-URB)
Secondary Phone
8157419719
Graduation Year
1984 (42 years ago)
PAC ID
4183698780
Group Practice PAC ID
7810990033
Professional Enrollment ID
I20040821000070
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

  • 2222, Weber Road, Crest Hill, Will County, Illinois, 60403, United States

    CREST HILL, IL 604030928

    Phone: (815) 741-9714

    Type: Mailing

  • 2199 Cheat Rd

    Morgantown, WV 265084451

    Phone: (304) 594-3258

    Fax: (304) 594-3298

    Type: Location

  • 2199 CHEAT RD

    MORGANTOWN, WV 265084451

    Phone: (304) 594-3258

    Fax: (304) 594-3498

    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.

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 60403)

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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: 7810990033View full group profile
NameSpecialtyState
N E U R O L O G YIL
-IL
N E U R O L O G YIL

Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1831184431 is assigned to Unknown Individual under the national enumeration system.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Neurology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Crest Hill, Illinois because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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