Unknown Individual – Anatomic Pathology & Clinical Pathology Physician, NPI 1194762013

Unknown Individual is a healthcare provider. based in Evanston, Illinois. specializing in Anatomic Pathology & Clinical Pathology Physician. They hold a License No. 036038287 (IL). The NPI Number for Unknown Individual is 1194762013

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1194762013
Phone
(847) 570-2040
Address
2650 RIDGE AVE
Deactivation Date
18 December 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON HOSPITAL

    EVANSTON, IL 602011718

    Phone: (847) 570-2040

    Fax: (847) 733-5315

    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.

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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 60201)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1194762013 on file in the registry.
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 expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Anatomic Pathology & Clinical Pathology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Evanston, Illinois as the headline location for Unknown Individual here.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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