Unknown Individual – Internal Medicine Physician, NPI 1942276365

Unknown Individual is a healthcare provider. based in Freeport, Illinois. specializing in Internal Medicine Physician. They hold a License No. 036072468 (IL). The NPI Number for Unknown Individual is 1942276365

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1942276365
Phone
(815) 599-7958
Address
421 W EXCHANGE ST
Deactivation Date
30 December 2020

Doctor Profile

Medical School Name
NORTHWESTERN UNIVERSITY FEINBERG MEDICAL SCHOOL
Secondary Phone
8152353165
Graduation Year
1973 (53 years ago)
PAC ID
6608788922
Group Practice PAC ID
9234041682
Professional Enrollment ID
I20100130000376
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

  • West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States

    PO BOX 268

    FREEPORT, IL 610324030

    Phone: (815) 599-7958

    Type: Mailing

  • Fairway Drive, Freeport, Stephenson County, Illinois, 61032, United States

    FREEPORT, IL 610326600

    Phone: (815) 599-7740

    Type: Location

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 61032)

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: 9234041682View full group profile
NameSpecialtyState
Interventional CardiologyIL
Infectious Disease, Internal MedicineIL
Family PracticeIL
-DE
Family PracticeIL
O B S T E T R I C S/ G Y N E C O L O G YIL
-IL
Family PracticeIL
Orthopedic SurgeryIL
Family PracticeIL

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

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1942276365.
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 is Unknown Individual's primary classification?
Internal Medicine 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 Freeport, Illinois; more addresses can appear in NPPES.
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.

Similar Providers

FHN

Family Medicine Physician
West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1457337016

DR. DIANN D BENNETT (MD)

Internal Medicine Physician
West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1326010083

DIANA C MCNULTY

Internal Medicine Physician
West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1215900105

MR. EUGENE MICHAEL GAERTNER (MD)

Internal Medicine Physician
207 LITTLE DOG DR.
NPI: 1053387472

WILLIAM C SHARELIS (MD)

Internal Medicine Physician
West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1487620803

TIMOTHY E JESSEN (MD)

Allergy & Immunology Physician
West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1831165034

Unknown Individual

Internal Medicine Physician
West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1477529675

ALAN ESKER (MD)

Internal Medicine Physician
West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1831159698

DR. RENU DOSI (M.D.)

Internal Medicine Physician
268, Mission Road, Carapichaima, Couva-Tabaquite-Talparo, Trinidad and Tobago
NPI: 1073522140