Unknown Individual – Infectious Disease Physician, NPI 1083675425

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Infectious Disease Physician. They hold a License No. 036045715 (IL). The NPI Number for Unknown Individual is 1083675425

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083675425
Phone
(312) 942-2061
Address
600 S PAULINA ST
Deactivation Date
20 March 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

  • 600, South Paulina Street, Near West Side, Illinois Medical District, Chicago, Cook County, Illinois, 60612, United States

    SUITE 143

    CHICAGO, IL 606123806

    Phone: (312) 942-2061

    Fax: (312) 942-2184

    Type: Location

  • PO box, Russell Road, Paoli, Tredyffrin Township, Chester County, Pennsylvania, 19301, United States

    PARK RIDGE, IL 600688018

    Phone: (847) 759-1560

    Fax: (847) 803-1006

    Type: Mailing

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 60612)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1083675425 if you need a stable reference for Unknown Individual.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Chicago, Illinois for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1083675425. Always confirm identity and privileges with the practice and licensing boards.

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