Unknown Individual – Diagnostic Radiology Physician, NPI 1134358567

Unknown Individual is a healthcare provider. based in Berwyn, Illinois. specializing in Diagnostic Radiology Physician. They hold a License No. ME 111104 (FL). The NPI Number for Unknown Individual is 1134358567

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1134358567
Phone
(708) 783-2696
Address
3249 OAK PARK AVE
Deactivation Date
21 October 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience41
Completeness75
Years active:0State licenses:4Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • MacNeal Hospital, 3249, Oak Park Avenue, Berwyn, Cook County, Illinois, 60402, United States

    BERWYN, IL 604023429

    Phone: (708) 783-2696

    Type: Mailing

  • Louis A. Weiss Memorial Hospital, 4646, North Marine Drive, Uptown, Chicago, Lake View Township, Cook County, Illinois, 60640, United States

    CHICAGO, IL 606405759

    Phone: (773) 878-8700

    Type: Location

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 60402)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1134358567 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
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.
Where is Unknown Individual's primary listing?
We display Berwyn, Illinois because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1134358567. Always confirm identity and privileges with the practice and licensing boards.