Unknown Individual – Gerontology Clinical Nurse Specialist, NPI 1083790836

Unknown Individual is a healthcare provider. based in Oak brook, Illinois. specializing in Gerontology Clinical Nurse Specialist. The NPI Number for Unknown Individual is 1083790836

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083790836
Phone
Not provided
Address
2311 W 22ND ST
Deactivation Date
26 December 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • West 22nd Street, Oak Brook, DuPage County, Illinois, 60521, United States

    SUITE 202

    OAK BROOK, IL 605231225

    Phone:

    Type: Mailing

  • South Doctor Martin Luther King Junior Drive, Roseland, Chicago, Hyde Park Township, Cook County, Illinois, 60628, United States

    CHICAGO, IL 606162441

    Phone: (312) 842-7117

    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.

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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.

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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 60523)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1083790836 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Gerontology Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Oak Brook, Illinois as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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