Unknown Individual – Psychologist, NPI 1316075435

Unknown Individual is a healthcare provider. based in Bourbonnais, Illinois. specializing in Psychologist. The NPI Number for Unknown Individual is 1316075435

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1316075435
Phone
(815) 939-4232
Address
PO BOX 229
Deactivation Date
3 July 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 229

    BOURBONNAIS, IL 609140229

    Phone: (815) 939-4232

    Fax: (815) 939-4978

    Type: Mailing

  • 22 HERITAGE DRIVE

    SUITE 104

    BOURBONNAIS, IL 609142503

    Phone: (815) 939-4232

    Fax: (815) 939-4978

    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 ·

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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 60914)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1316075435.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Psychologist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Bourbonnais, Illinois in registry-derived data.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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