Unknown Individual – Foot Surgery Podiatrist, NPI 1134124258

Unknown Individual is a healthcare provider. based in Arlington hts, Illinois. specializing in Foot Surgery Podiatrist. They hold a License No. 016002547 (IL). The NPI Number for Unknown Individual is 1134124258

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1134124258
Phone
(847) 394-3399
Address
121 S WILKE RD
Deactivation Date
21 October 2023
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

  • South Wilke Road, Arlington Heights, Wheeling Township, Cook County, Illinois, 60095, United States

    SUITE 103

    ARLINGTON HTS, IL 600051533

    Phone: (847) 394-3399

    Fax: (847) 590-0160

    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 60005)

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Provider's Procedures

Unknown Individual performs procedures in Foot Surgery Podiatrist. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PODIATRYIL11056Removal of 2 to 4 thickened skin growths26182

Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1134124258.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Foot Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Arlington Hts, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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