Unknown Individual – Internal Medicine Physician, NPI 1336161769

Unknown Individual is a healthcare provider. based in Libertyville, Illinois. specializing in Internal Medicine Physician. They hold a License No. 39116-20 (WI). The NPI Number for Unknown Individual is 1336161769

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1336161769
Phone
Not provided
Address
1565 STEEPLECHASE CT
Deactivation Date
1 November 2023
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience37
Completeness75
Years active:0State licenses:3Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 1565 STEEPLECHASE CT

    LIBERTYVILLE, IL 600481561

    Phone:

    Type: Mailing

  • Captain James A. Lovell Federal Health Care Center, 3001, Green Bay Road, Five Points, North Chicago, Lake County, Illinois, 60064, United States

    NORTH CHICAGO VA MEDICAL CENTER

    NORTH CHICAGO, IL 600643048

    Phone: (847) 688-1900

    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 60048)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1336161769 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Internal Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Libertyville?
Unknown Individual currently maps to Libertyville, Illinois in this extract.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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