Unknown Individual – Dental Hygienist, NPI 1124619374

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Dental Hygienist. They hold a License No. 020013630 (IL). The NPI Number for Unknown Individual is 1124619374

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1124619374
Phone
(312) 933-7773
Address
1600 N MARSHFIELD AVE UNIT 201
Deactivation Date
1 August 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1600 N MARSHFIELD AVE UNIT 201

    CHICAGO, IL 60622

    Phone: (312) 933-7773

    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.

This can happen when there are no reportable CMS Open Payments records.

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.

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

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 60622)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1124619374 when you need to reference Unknown Individual in forms, claims, or directories.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Dental Hygienist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Chicago, Illinois for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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