Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1255604252

Unknown Individual is a healthcare provider. based in Waukegan, Illinois. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 2189 (IL). The NPI Number for Unknown Individual is 1255604252

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1255604252
Phone
(847) 377-8298
Address
3010 GRAND AVE
Deactivation Date
28 June 2023
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

  • 3010 GRAND AVE

    3RD FLOOR

    WAUKEGAN, IL 600852321

    Phone: (847) 377-8298

    Fax: (847) 984-5689

    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 60085)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1255604252; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
What kind of provider is Unknown Individual?
The page reflects Addiction (Substance Use Disorder) Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see Waukegan, Illinois on file for Unknown Individual alongside any extra practice locations.
What if Waukegan, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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