Unknown Individual – General Practice Dentistry, NPI 1154494086

Unknown Individual is a healthcare provider. based in Elmwood park, Illinois. specializing in General Practice Dentistry. The NPI Number for Unknown Individual is 1154494086

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1154494086
Phone
(708) 456-6344
Address
7540 W NORTH AVE
Deactivation Date
13 September 2023
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

  • 13th Avenue West, West Charleswood, West Fargo, Cass County, North Dakota, 58078, United States

    ELMWOOD PARK, IL 607074141

    Phone: (708) 456-6344

    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 60707)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1154494086 — the number used across U.S. healthcare to identify this provider.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes General Practice Dentistry. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Elmwood Park?
Public fields place Unknown Individual around Elmwood Park, Illinois. Always confirm the exact site before visiting.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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