Unknown Individual – Clinical Psychologist, NPI 1871698571

Unknown Individual is a healthcare provider. based in Rijer forest, Illinois. specializing in Clinical Psychologist. The NPI Number for Unknown Individual is 1871698571

Main info

Organization
Inactive
42 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1871698571
Phone
Not provided
Address
7965 W CHICAGO
Deactivation Date
24 August 2021

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7086718440
Graduation Year
1984 (42 years ago)
PAC ID
3577581248
Group Practice PAC ID
7416930250
Professional Enrollment ID
I20051111000036
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

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Provider Addresses for Unknown Individual

  • 7965 W CHICAGO

    RIJER FOREST, IL 60305

    Phone:

    Type: Mailing

  • Lake Street, Ridgeland, Oak Park, Cook County, Illinois, 60302, United States

    OAK PARK, IL 60302

    Phone: (708) 203-6625

    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 60305)

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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: 7416930250View full group profile
NameSpecialtyState
Clinical PsychologistIL
Clinical PsychologistIL
Clinical PsychologistIL

Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1871698571 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 healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Rijer Forest, Illinois in the data we show; additional addresses may exist on the full record.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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