Unknown Individual – Infectious Disease Physician, NPI 1841251212

Unknown Individual is a healthcare provider. based in Park ridge, Illinois. specializing in Infectious Disease Physician. They hold a License No. 036-063749 (IL). The NPI Number for Unknown Individual is 1841251212

Main info

Organization
Inactive
46 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1841251212
Phone
(847) 759-1560
Address
PO BOX 239D
Deactivation Date
7 August 2024

Doctor Profile

Medical School Name
RUSH MEDICAL COLLEGE OF RUSH UNIVERSITY
Secondary Phone
3129425865
Graduation Year
1980 (46 years ago)
PAC ID
7719982818
Group Practice PAC ID
8628114956
Professional Enrollment ID
I20091012000362
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    PARK RIDGE, IL 600688018

    Phone: (847) 759-1560

    Fax: (847) 803-1006

    Type: Mailing

  • 600, South Paulina Street, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60612, United States

    SUITE 143

    CHICAGO, IL 606123806

    Phone: (847) 759-1560

    Fax: (847) 803-1006

    Type: Location

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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Educational use only—not medical, billing, or legal advice.

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

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Medicare Utilization (FFS)

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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 60068)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1841251212 in the public NPI dataset.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's primary classification?
Infectious Disease Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Park Ridge, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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