Unknown Individual – Clinical Psychologist, NPI 1154372787

Unknown Individual is a healthcare provider. based in North chicago, Illinois. specializing in Clinical Psychologist. The NPI Number for Unknown Individual is 1154372787

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154372787
Phone
(224) 610-5799
Address
3001 GREEN BAY ROAD
Deactivation Date
13 September 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

  • Captain James A. Lovell Federal Health Care Center, 3001, Green Bay Road, Five Points, North Chicago, Lake County, Illinois, 60064, United States

    NORTH CHICAGO VAMC, BLDG 131, RM 146

    NORTH CHICAGO, IL 60064

    Phone: (224) 610-5799

    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 60064)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1154372787.
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 Clinical Psychologist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near North Chicago, Illinois may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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Captain James A. Lovell Federal Health Care Center, 3001, Green Bay Road, Five Points, North Chicago, Lake, Illinois, 60064, United States
NPI: 1265456024
3001 GREENBAY ROAD
NPI: 1578587861