Unknown Individual – Child Abuse Pediatrics Physician, NPI 1265466247

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Child Abuse Pediatrics Physician. They hold a License No. 036-098410 (IL). The NPI Number for Unknown Individual is 1265466247

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1265466247
Phone
(312) 864-4140
Address
1901 W HARRISON ST
Deactivation Date
24 January 2022

Contacts

Secure Messaging
mfujara@direct.ccprovider.org
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

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Provider Addresses for Unknown Individual

  • Fantus Health Center, 1901, West Harrison Street, Near West Side, Illinois Medical District, Chicago, Illinois Medical District, Illinois, 60612, United States

    JOHN H. STROGER JR. HOSPITAL OF COOK COUNTY

    CHICAGO, IL 606123714

    Phone: (312) 864-4140

    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 60612)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1265466247.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Child Abuse Pediatrics Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Chicago?
Unknown Individual currently maps to Chicago, Illinois in this extract.
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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