Unknown Individual – Federally Qualified Health Center (FQHC), NPI 1184233223

Unknown Individual is a healthcare provider. based in Countryside, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Unknown Individual is 1184233223

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1184233223
Phone
(708) 745-5277
Address
5220 EAST AVE
Deactivation Date
2 March 2026
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

Provider Addresses for Unknown Individual

  • 5220 EAST AVE

    COUNTRYSIDE, IL 605253133

    Phone: (708) 745-5277

    Type: Mailing

  • 105 E BURLINGTON ST

    RIVERSIDE, IL 605462146

    Phone: (708) 745-5277

    Type: Location

  • 23 W CALENDAR AVE

    LA GRANGE, IL 605252365

    Phone: (708) 745-5277

    Type: Mailing

  • 6918 W WINDSOR AVE

    BERWYN, IL 604023334

    Phone: (708) 995-3598

    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 60525)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1184233223.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Countryside, Illinois; more addresses can appear in NPPES.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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