Unknown Individual – Ophthalmology Physician, NPI 1174610885

Unknown Individual is a healthcare provider. based in Park ridge, Illinois. specializing in Ophthalmology Physician. They hold a License No. 036-038570 (IL). The NPI Number for Unknown Individual is 1174610885

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174610885
Phone
(847) 823-2129
Address
42 MAIN ST
Deactivation Date
16 October 2025
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

  • 42, Main Street, Park Ridge, Cook County, Illinois, 60068, United States

    PARK RIDGE, IL 600684054

    Phone: (847) 823-2129

    Fax: (847) 823-1639

    Type: Location

  • 42, Main Street, Park Ridge, Maine Township, Cook County, Illinois, 60068, United States

    PARK RIDGE, IL 600684054

    Phone: (847) 823-2129

    Fax: (847) 823-1639

    Type: Mailing

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.

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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 60068)

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Provider's Procedures

Unknown Individual performs procedures in Ophthalmology Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
OPHTHALMOLOGYIL92012Eye and medical examination for diagnosis and treatment, established patient4135
OPHTHALMOLOGYIL92083Measurement of field of vision during daylight conditions3636

Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1174610885; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Ophthalmology Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Park Ridge, Illinois for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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