Unknown Individual – Psychiatry Physician, NPI 1043243652

Unknown Individual is a healthcare provider. based in Marion, Illinois. specializing in Psychiatry Physician. They hold a License No. 15733 (PR). The NPI Number for Unknown Individual is 1043243652

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1043243652
Phone
(618) 997-5311
Address
2401 W MAIN ST
Deactivation Date
3 January 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

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Provider Addresses for Unknown Individual

  • 2401, West Main Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629591188

    Phone: (618) 997-5311

    Fax: (618) 998-5668

    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.

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 62959)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1043243652.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Marion, Illinois for Unknown Individual; download NPPES for the complete set.
What if Marion, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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