Unknown Individual – Pediatric Gastroenterology Physician, NPI 1275970899

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Pediatric Gastroenterology Physician. They hold a License No. 036140262 (IL). The NPI Number for Unknown Individual is 1275970899

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1275970899
Phone
(773) 702-6418
Address
5841 SOUTH MARYLAND AVENUE
Deactivation Date
8 February 2023

Contacts

Secure Messaging
melias183543@uchospital.direct-ci.com
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness85
Years active:0State licenses:1Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 5841 SOUTH MARYLAND AVENUE

    ROOM C-474, MC 4065

    CHICAGO, IL 606371470

    Phone: (773) 702-6418

    Fax: (773) 702-0666

    Type: Mailing

  • 5841 SOUTH MARYLAND AVE

    ROOM C-474, MC 4065

    CHICAGO, IL 606371470

    Phone: (773) 702-6418

    Fax: (773) 702-0666

    Type: Location

  • 150 HARVESTER DR

    SUITE 300

    BURR RIDGE, IL 605275919

    Phone:

    Type: Mailing

  • 5841 S MARYLAND AVE

    CHICAGO, IL 606371443

    Phone: (888) 824-0200

    Type: Location

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.

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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 60637)

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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 1275970899.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Pediatric Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Chicago, Illinois as the headline location for Unknown Individual here.
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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