Unknown Individual – Psychologist, NPI 1306932835

Unknown Individual is a healthcare provider. based in Olympia fields, Illinois. specializing in Psychologist. They hold a License No. 071004807 (IL). The NPI Number for Unknown Individual is 1306932835

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1306932835
Phone
(708) 747-7960
Address
20110 GOVERNORS HWY
Deactivation Date
6 July 2022
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

  • 20110, Governors Highway, Olympia Fields, Rich Township, Cook County, Illinois, 60461, United States

    OLYMPIA FIELDS, IL 60461

    Phone: (708) 747-7960

    Type: Mailing

  • Advocate Medical Group Outpatient Center, 9550, West 167th Street, Orland Park, Orland Township, Cook County, Illinois, 60467, United States

    ORLAND PARK, IL 60467

    Phone: (708) 873-4500

    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.

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 60461)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1306932835?
NPI 1306932835 belongs to Unknown Individual; compare other details if you need extra assurance.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Olympia Fields, Illinois.
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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