Unknown Individual – Specialist, NPI 1255353538

Unknown Individual is a healthcare provider. based in Niles, Illinois. specializing in Specialist. The NPI Number for Unknown Individual is 1255353538

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255353538
Phone
(847) 299-1044
Address
8780 W GOLF RD
Deactivation Date
14 February 2024
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

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Provider Addresses for Unknown Individual

  • Golf Road, Skokie, Niles Township, Cook County, Illinois, 60025, United States

    SUITE 303

    NILES, IL 607145602

    Phone: (847) 299-1044

    Fax: (847) 299-0425

    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.

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 60714)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1255353538?
NPI 1255353538 belongs to Unknown Individual; compare other details if you need extra assurance.
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 area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Other Service Providers. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Niles?
Unknown Individual currently maps to Niles, Illinois in this extract.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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