Unknown Individual – Rheumatology Physician, NPI 1104256627

Unknown Individual is a healthcare provider. based in Highland park, Illinois. specializing in Rheumatology Physician. They hold a License No. 036067290 (IL). The NPI Number for Unknown Individual is 1104256627

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104256627
Phone
(847) 673-8473
Address
PO BOX 97
Deactivation Date
30 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

  • PO BOX 97

    HIGHLAND PARK, IL 600350097

    Phone: (847) 673-8473

    Type: Mailing

  • 555 CORPORATE WOODS PKWY

    VERNON HILLS, IL 600613111

    Phone: (847) 673-8473

    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 60035)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1104256627 uniquely identifies Unknown Individual in U.S. healthcare data.
Does inactive mean outdated data for Unknown Individual?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 Rheumatology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Highland Park, Illinois?
If you are local to Highland Park, Illinois, Unknown Individual may be relevant to your search.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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