Unknown Individual – Diagnostic Radiology Physician, NPI 1124103262

Unknown Individual is a healthcare provider. based in Marion, Illinois. specializing in Diagnostic Radiology Physician. The NPI Number for Unknown Individual is 1124103262

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124103262
Phone
(618) 997-6906
Address
1008 W CHERRY ST
Deactivation Date
29 November 2021
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

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Provider Addresses for Unknown Individual

  • 1008, West Cherry Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629591998

    Phone: (618) 997-6906

    Fax: (618) 997-7759

    Mailing address matches the actual address.

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

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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 62959)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1124103262; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Diagnostic Radiology Physician. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Marion, Illinois for Unknown Individual; expand the address list for detail.
What if Marion, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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