Unknown Individual – Psychiatry Physician, NPI 1225090723

Unknown Individual is a healthcare provider. based in Highland park, Illinois. specializing in Psychiatry Physician. They hold a License No. 36-037717 (IL). The NPI Number for Unknown Individual is 1225090723

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1225090723
Phone
(847) 432-2420
Address
1893 SHERIDAN RD
Deactivation Date
28 August 2024
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

  • 1893, Sheridan Road, Downtown Highland Park, Highland Park, Illinois, 60035, United States

    SUITE 217

    HIGHLAND PARK, IL 600352628

    Phone: (847) 432-2420

    Type: Location

  • 128, Vine Avenue, Highland Park, Lake County, Illinois, 60035, United States

    HIGHLAND PARK, IL 600352021

    Phone: (847) 432-2420

    Fax: (847) 433-2947

    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 60035)

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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 1225090723 on file in the registry.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Psychiatry Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Highland Park, Illinois as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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Unknown Individual

Psychiatry Physician
1893, Sheridan Road, Downtown Highland Park, Highland Park, Illinois, 60035, United States
NPI: 1861446999