Unknown Individual – Orthopaedic Hand Surgery Physician, NPI 1972504751

Unknown Individual is a healthcare provider. based in Homewood, Illinois. specializing in Orthopaedic Hand Surgery Physician. They hold a License No. 036050124 (IL). The NPI Number for Unknown Individual is 1972504751

Main info

Organization
Inactive
53 Years Of Experience
Accepts Medicare Assignment
Name
Unknown Individual
NPI
1972504751
Phone
(708) 957-9404
Address
18237 KEDZIE AVE
Deactivation Date
1 November 2023

Doctor Profile

Medical School Name
LOYOLA UNIVERSITY OF CHICAGO, STRITCH SCHOOL OF MEDICINE
Secondary Phone
-
Graduation Year
1973 (53 years ago)
PAC ID
6305848342
Professional Enrollment ID
I20070205000457
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

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Provider Addresses for Unknown Individual

  • 18237, Kedzie Avenue, Homewood, Bremen Township, Cook County, Illinois, 60430, United States

    HOMEWOOD, IL 604301411

    Phone: (708) 957-9404

    Fax: (708) 957-9462

    Mailing address matches the actual address.

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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60430)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1972504751.
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 Orthopaedic Hand Surgery Physician. Clinical services aligned with this taxonomy classification.
What city is tied to Unknown Individual?
The directory associates Unknown Individual with Homewood, Illinois. Check all listed addresses for suites or satellite offices.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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