Unknown Individual – Chiropractor, NPI 1053308379

Unknown Individual is a healthcare provider. based in Dixon, Illinois. specializing in Chiropractor. They hold a License No. 038003225 (IL). The NPI Number for Unknown Individual is 1053308379

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053308379
Phone
(815) 288-1134
Address
1064 IDLE OAKS RUN
Deactivation Date
4 April 2022
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

  • 1064, Idle Oaks Run, Dixon, Dixon Township, Lee County, Illinois, 61021, United States

    DIXON, IL 610213239

    Phone: (815) 288-1134

    Fax: (815) 288-4805

    Type: Mailing

  • 700, Countryside Lane, Dixon, Dixon Township, Lee County, Illinois, 61021, United States

    DIXON, IL 610213914

    Phone: (815) 288-2229

    Fax: (815) 284-4805

    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 61021)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1053308379.
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.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Chiropractor in the taxonomy section. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Dixon, Illinois in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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