Unknown Individual – Physical Therapist, NPI 1174804975

Unknown Individual is a healthcare provider. based in Riverside, Illinois. specializing in Physical Therapist. They hold a License No. 070.001486 (IL). The NPI Number for Unknown Individual is 1174804975

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1174804975
Phone
(708) 447-0059
Address
248 BARTRAM RD
Deactivation Date
28 August 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 248 BARTRAM RD

    RIVERSIDE, IL 605461887

    Phone: (708) 447-0059

    Fax: (708) 447-0059

    Type: Mailing

  • 3 ERIE CT

    SUBACUTE REHAB.

    OAK PARK, IL 603022519

    Phone: (708) 763-6572

    Fax: (708) 763-6573

    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.

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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.

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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 60546)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1174804975 for Unknown Individual.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Physical Therapist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Riverside, Illinois?
For routing, start with Riverside, Illinois for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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