Unknown Individual – Federally Qualified Health Center (FQHC), NPI 1003386640

Unknown Individual is a healthcare provider. based in La grange, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Unknown Individual is 1003386640

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1003386640
Phone
(708) 745-5277
Address
23 W CALENDAR AVE STE 207
Deactivation Date
13 December 2022
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • West Calendar Avenue, La Grange, Lyons Township, Cook County, Illinois, 60525, United States

    LA GRANGE, IL 605256327

    Phone: (708) 745-5277

    Type: Mailing

  • 333 N La Grange Rd

    LA Grange Park, IL 605265646

    Phone: (707) 745-5277

    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 60525)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1003386640 is assigned to Unknown Individual under the national enumeration system.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see La Grange, Illinois on file for Unknown Individual alongside any extra practice locations.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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