Unknown Individual – Family Nurse Practitioner, NPI 1083911283

Unknown Individual is a healthcare provider. based in Streamwood, Illinois. specializing in Family Nurse Practitioner. They hold a License No. 209006519 (IL). The NPI Number for Unknown Individual is 1083911283

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1083911283
Phone
Not provided
Address
188 SOUTHWICKE DR
Deactivation Date
8 May 2025
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

  • 188 SOUTHWICKE DR

    STREAMWOOD, IL 601073372

    Phone:

    Type: Mailing

  • 188 Southwicke Dr

    Streamwood, IL 601073372

    Phone: (312) 934-5777

    Type: Location

  • 16830 IL-53

    CREST HILL, IL 60403

    Phone: (312) 934-5777

    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 60107)

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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 1083911283.
Does inactive mean outdated data for Unknown Individual?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 Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Streamwood, Illinois in the same public data insurers reference.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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