Unknown Individual – Internal Medicine Physician, NPI 1831201235

Unknown Individual is a healthcare provider. based in Palos hills, Illinois. specializing in Internal Medicine Physician. They hold a License No. 036068149 (IL). The NPI Number for Unknown Individual is 1831201235

Main info

Organization
Inactive
44 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1831201235
Phone
(708) 599-3100
Address
10400 ROBERTS RD
Deactivation Date
15 December 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7082169000
Graduation Year
1982 (44 years ago)
PAC ID
2961691811
Group Practice PAC ID
3779488903
Professional Enrollment ID
I20110107001043
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

Loading map...

Provider Addresses for Unknown Individual

  • 10400, South Roberts Road, Palos Hills, Palos Township, Cook County, Illinois, 60465, United States

    SUITE B

    PALOS HILLS, IL 60465

    Phone: (708) 599-3100

    Fax: (708) 599-0317

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 60465)

Loading plans...

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: 3779488903View full group profile

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1831201235 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Internal Medicine Physician in this dataset. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Palos Hills, Illinois may find Unknown Individual in results; validate coverage separately.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

Similar Providers

HOUSE CALL PHYSICIANS LLC

Internal Medicine Physician
South Roberts Road, Palos Hills, Palos Township, Cook County, Illinois, 60465, United States
NPI: 1598703191

Unknown Individual

Internal Medicine Physician
South Roberts Road, Palos Hills, Palos Township, Cook County, Illinois, 60465, United States
NPI: 1972545002

HOME VISITING PHYSICIANS

Internal Medicine Physician
South Roberts Road, Palos Hills, Palos Township, Cook County, Illinois, 60465, United States
NPI: 1487697496
11050 PARKVIEW CIRCLE DR
NPI: 1821034307

PRAIRIE MEDICAL PHYSICIANS GROUP SC

Internal Medicine Physician
10330, South Roberts Road, Palos Hills, Palos Township, Cook County, Illinois, 60465, United States
NPI: 1811920234

DR. CHANDRAREKHA KAZA (M.D.)

Internal Medicine Physician
11824 Southwest Hwy
NPI: 1073533857

ANDREW G MACRI (D.O.)

Internal Medicine Physician
Southwest Highway, Woodland, Palos Park, Palos Township, Cook County, Illinois, 60462, United States
NPI: 1720092463

DR. VIJAY BAJAJ (M.D.)

Internal Medicine Physician
10401 S ROBERTS RD
NPI: 1508997982

VIJAY BAJAJ M.D.,S.C.

Internal Medicine Physician
10401 S ROBERTS RD
NPI: 1477684769