Unknown Individual – Internal Medicine Physician, NPI 1114112265

Unknown Individual is a healthcare provider. based in Kewanee, Illinois. specializing in Internal Medicine Physician. The NPI Number for Unknown Individual is 1114112265

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1114112265
Phone
(309) 852-4601
Address
2021 KENTVILLE RD
Deactivation Date
17 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 2021 KENTVILLE RD

    IYC KEWANEE

    KEWANEE, IL 61443

    Phone: (309) 852-4601

    Type: Location

  • 327, McKinley Avenue, McKinley Place, Kewanee, Henry County, Illinois, 61443, United States

    KEWANEE, IL 614432905

    Phone: (309) 852-3165

    Fax: (309) 852-3199

    Type: Mailing

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 61443)

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Reviews

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Frequently asked questions

Can I use this page to confirm Unknown Individual's NPI?
Yes. Unknown Individual is listed with NPI 1114112265 in the public NPI dataset.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Kewanee, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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