Unknown Individual – Pain Medicine (Anesthesiology) Physician, NPI 1356322820

Unknown Individual is a healthcare provider. based in Orland park, Illinois. specializing in Pain Medicine (Anesthesiology) Physician. They hold a License No. 036042090 (IL). The NPI Number for Unknown Individual is 1356322820

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1356322820
Phone
(708) 460-9836
Address
PO BOX 379
Deactivation Date
17 April 2025
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

  • 379, Front Ridge Road, Five Mile Corners, Orland, Hancock County, Maine, 04472, United States

    ORLAND PARK, IL 604620379

    Phone: (708) 460-9836

    Fax: (708) 460-1117

    Type: Mailing

  • 7600, West College Drive, Palos Heights, Palos Township, Cook County, Illinois, 60463, United States

    PALOS HEIGHTS, IL 604631001

    Phone: (708) 361-5550

    Fax: (708) 361-5624

    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 ·

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 60462)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1356322820 for Unknown Individual, then check state licensing separately.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Pain Medicine (Anesthesiology) Physician. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Orland Park, Illinois may find Unknown Individual in results; validate coverage separately.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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