Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1104835842

Unknown Individual is a healthcare provider. based in Belleville, Illinois. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 036061463 (IL). The NPI Number for Unknown Individual is 1104835842

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104835842
Phone
(618) 234-2120
Address
211 S 3RD ST
Deactivation Date
20 November 2025
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

  • 211, South 3rd Street, Belleville, Saint Clair County, Illinois, 62220, United States

    DEPT. OF PATHOLOGY

    BELLEVILLE, IL 622201915

    Phone: (618) 234-2120

    Fax: (618) 222-4630

    Type: Location

  • Pop in a Box, 800, Avenida Presidente Juscelino Kubitscheck de Oliveira, Jardim Panorama, São José do Rio Preto, Região Imediata de São José do Rio Preto, Região Geográfica Intermediária de São José do Rio Preto, São Paulo, Southeast Region, 15092-450, Brazil

    ORLANDO, FL 328144333

    Phone: (407) 422-9831

    Fax: (407) 206-1767

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

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Medicare Enrollment & Revalidation

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Medicare Utilization (FFS)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 62220)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1104835842 when you need to reference Unknown Individual in forms, claims, or directories.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Anatomic Pathology & Clinical Pathology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Belleville, Illinois for Unknown Individual; expand the address list for detail.
How can I contact Unknown Individual?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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