Unknown Individual – Vascular Surgery Physician, NPI 1265417307

Unknown Individual is a healthcare provider. based in Oak lawn, Illinois. specializing in Vascular Surgery Physician. They hold a License No. 036046864 (IL). The NPI Number for Unknown Individual is 1265417307

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265417307
Phone
(708) 346-4646
Address
4400 W 95TH STREET
Deactivation Date
3 April 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

  • Advocate Christ Medical Center, 4400, West 95th Street, Oak Lawn, Worth Township, Cook County, Illinois, 60453, United States

    SUITE 403

    OAK LAWN, IL 604532661

    Phone: (708) 346-4646

    Fax: (708) 346-4454

    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 60453)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1265417307?
NPI 1265417307 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Vascular Surgery Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Oak Lawn, Illinois as the reference point for Unknown Individual, then confirm.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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