Unknown Individual – Nephrology Physician, NPI 1073510996

Unknown Individual is a healthcare provider. based in Oak park, Illinois. specializing in Nephrology Physician. They hold a License No. 036052838 (IL). The NPI Number for Unknown Individual is 1073510996

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1073510996
Phone
(708) 492-4077
Address
855 MADISON 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

  • Oak Park, Huntsville, Madison County, Alabama, 35801-3609, United States

    OAK PARK, IL 603024420

    Phone: (708) 492-4077

    Fax: (708) 386-2839

    Type: Mailing

  • Spalding Drive, Naperville, DuPage County, Illinois, United States

    SUITE 410

    NAPERVILLE, IL 605406508

    Phone: (630) 369-0780

    Fax: (630) 369-0886

    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 60302)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1073510996.
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.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Nephrology Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Oak Park, Illinois?
For routing, start with Oak Park, Illinois for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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