Unknown Individual – Professional Counselor, NPI 1053613083

Unknown Individual is a healthcare provider. based in Oswego, Illinois. specializing in Professional Counselor. They hold a License No. 178.001243 (IL). The NPI Number for Unknown Individual is 1053613083

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1053613083
Phone
(630) 337-0928
Address
105 THEODORE DR
Deactivation Date
24 May 2023
Data current as of
20 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

  • 105 THEODORE DR

    SUITE B-2

    OSWEGO, IL 605436031

    Phone: (630) 337-0928

    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

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No Medicare enrollment or revalidation data available for this provider in our database.

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Medicare Utilization (FFS)

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

Insurance plans in this area (ZIP 60543)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1053613083?
NPI 1053613083 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Professional Counselor. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Oswego, Illinois.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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