Unknown Individual – Family Medicine Physician, NPI 1295779585

Unknown Individual is a healthcare provider. based in Des plaines, Illinois. specializing in Family Medicine Physician. They hold a License No. 036056115 (IL). The NPI Number for Unknown Individual is 1295779585

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1295779585
Phone
(847) 827-4496
Address
1792 E OAKTON ST
Deactivation Date
22 November 2023
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

  • 1792, East Oakton Street, Riverview, Des Plaines, Cook County, Illinois, 60018, United States

    DES PLAINES, IL 60018

    Phone: (847) 827-4496

    Fax: (847) 827-1256

    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 60018)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1295779585 is assigned to Unknown Individual under the national enumeration system.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Des Plaines, Illinois for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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