Unknown Individual – Psychiatry Physician, NPI 1306865936

Unknown Individual is a healthcare provider. based in Northbrook, Illinois. specializing in Psychiatry Physician. They hold a License No. 036-064295 (IL). The NPI Number for Unknown Individual is 1306865936

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306865936
Phone
(630) 235-7800
Address
618 DAUPHINE CT
Deactivation Date
20 September 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

  • 618, Dauphine Court, Northbrook, Northfield Township, Cook County, Illinois, 60062, United States

    NORTHBROOK, IL 600622256

    Phone: (630) 235-7800

    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.

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Medicare Enrollment & Revalidation

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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 60062)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1306865936?
NPI 1306865936 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 Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Northbrook?
Public fields place Unknown Individual around Northbrook, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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