Unknown Individual – Orthopaedic Surgery Physician, NPI 1104871797

Unknown Individual is a healthcare provider. based in Des plaines, Illinois. specializing in Orthopaedic Surgery Physician. They hold a License No. 036-055733 (IL). The NPI Number for Unknown Individual is 1104871797

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1104871797
Phone
(847) 324-3976
Address
900 RAND RD STE 300
Deactivation Date
15 November 2022
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

  • 900 Rand Rd, 900, East Rand Road, Des Plaines, Cook County, Illinois, 60016, United States

    ATTN: RAQUEL LEON

    DES PLAINES, IL 600162359

    Phone: (847) 324-3976

    Type: Mailing

  • North Greenleaf Street, Gurnee, Lake County, Illinois, 60031, United States

    SUITE 405

    GURNEE, IL 600315709

    Phone: (847) 336-3335

    Type: Location

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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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 60016)

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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 1104871797.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Orthopaedic Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Des Plaines, Illinois?
For routing, start with Des Plaines, Illinois for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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