Unknown Individual – Emergency Medicine Physician, NPI 1861478885

Emergency Medicine Physician

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Emergency Medicine Physician. They hold a License No. 01041105A (IN). The NPI Number for Unknown Individual is 1861478885

Main info

Organization

Inactive

35 Years Of Experience

Accepts Medicare Assignment

Name

Unknown Individual

NPI

1861478885

Phone

(260) 969-1950

Address

# 774560, 4560 SOLUTIONS CENTER

Deactivation Date

22 February 2023

Doctor Profile

Medical School Name

INDIANA UNIVERSITY SCHOOL OF MEDICINE

Secondary Phone

7404253941

Graduation Year

1991 (35 years ago)

PAC ID

5890732168

Group Practice PAC ID

8426011495

Professional Enrollment ID

I20170815004240

Data current as of

19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology

Experience19

Completeness75

Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

# 774560, 4560 SOLUTIONS CENTER
CHICAGO, IL 606774005
Phone: (260) 969-1950
Fax: (260) 918-2137
Type: Mailing
Door 36, 1316, East 7th Street, Auburn, DeKalb County, Indiana, 46706, United States
AUBURN, IN 467062523
Phone: (260) 925-4600
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.

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 60677)

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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: 8426011495View full group profile

Name	Specialty	State
RICHARD U BALDWIN (MD)	-	OH
MURRAY GLENN III SULLIVAN (MD)	-	OH
ANDREW ZACHARY PLACE (MD)	-	OH

Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?

The registry entry for Unknown Individual shows NPI 1861478885.

What does inactive NPI status mean for Unknown Individual?

Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.

What geographic area is tied to Unknown Individual?

Unknown Individual is associated with Chicago, Illinois in the same public data insurers reference.

What is the difference between NPI and a medical license?

An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.