Unknown Individual – Physician Assistant, NPI 1952370652

Unknown Individual is a healthcare provider. based in Niles, Illinois. specializing in Physician Assistant. They hold a License No. 1484 (OK). The NPI Number for Unknown Individual is 1952370652

Main info

Organization
Inactive
27 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1952370652
Phone
(847) 299-1044
Address
8780 W GOLF RD STE 303
Deactivation Date
28 December 2022

Doctor Profile

Medical School Name
UNIVERSITY OF NEBRASKA COLLEGE OF MEDICINE
Secondary Phone
7732810046
Graduation Year
1999 (27 years ago)
PAC ID
2163432527
Group Practice PAC ID
8022316967
Professional Enrollment ID
I20110429000291

Contacts

Main Contact
asmsc.doctor
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 8780 W GOLF RD STE 303

    NILES, IL 607145611

    Phone: (847) 299-1044

    Fax: (847) 299-0425

    Type: Location

  • 738, West Northwest Highway, Cuba, Barrington, Lake County, Illinois, 60010, United States

    BARRINGTON, IL 600102640

    Phone: (847) 382-5111

    Type: Mailing

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

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.

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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 60714)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1952370652?
NPI 1952370652 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Physician Assistant. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Niles?
Unknown Individual currently maps to Niles, Illinois in this extract.
What does 3 location(s) imply?
3 practice locations appear in the available data.

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