Unknown Individual – Diagnostic Radiology Physician, NPI 1033196902

Diagnostic Radiology Physician

Unknown Individual is a healthcare provider. based in Maywood, Illinois. specializing in Diagnostic Radiology Physician. They hold a License No. 36068395 (IL). The NPI Number for Unknown Individual is 1033196902

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1033196902

Phone

(708) 216-5221

Address

2160 S FIRST AVE

Deactivation Date

26 December 2024

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

Provider Addresses for Unknown Individual

2160 S FIRST AVE
(MCGAW ENT., RM. 47)
MAYWOOD, IL 60153
Phone: (708) 216-5221
Fax: (708) 216-0899
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.

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.

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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 60153)

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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 1033196902.

What happens when Unknown Individual's NPI is not active?

Public data lists Unknown Individual outside the active bucket for this identifier.

What does the directory say Unknown Individual does?

Insurance directories may phrase it differently, but here Unknown Individual maps to Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Maywood, Illinois in registry-derived data.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.