Unknown Individual – Professional Counselor, NPI 1093970824

Unknown Individual is a healthcare provider. based in Romeoville, Illinois. specializing in Professional Counselor. They hold a License No. 6401002817 (MI). The NPI Number for Unknown Individual is 1093970824

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1093970824
Phone
(312) 208-6855
Address
PO BOX 7353
Deactivation Date
8 February 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:0State licenses:4Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • PO BOX 7353

    ROMEOVILLE, IL 604467253

    Phone: (312) 208-6855

    Type: Mailing

  • 316, Woodcreek Drive, Riverstone, Bolingbrook, Will County, Illinois, 60440, United States

    SUITE 106

    BOLINGBROOK, IL 604403305

    Phone: (312) 208-6855

    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 60446)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1093970824 — is the standard way to identify this listing.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What taxonomy line describes Unknown Individual?
For research purposes, treat Unknown Individual as Professional Counselor in this dataset. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Romeoville, Illinois in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.