Unknown Individual – Urology Physician, NPI 1366429029

Unknown Individual is a healthcare provider. based in Highland park, Illinois. specializing in Urology Physician. They hold a License No. 036030149 (IL). The NPI Number for Unknown Individual is 1366429029

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366429029
Phone
(847) 984-5300
Address
1840 GREEN BAY RD
Deactivation Date
8 November 2024
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

  • 1840, Green Bay Road, Downtown Highland Park, Highland Park, Lake County, Illinois, 60035, United States

    HIGHLAND PARK, IL 600353110

    Phone: (847) 984-5300

    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.

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.

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 60035)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1366429029 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Urology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Highland Park, Illinois for Unknown Individual based on available NPPES addresses.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1366429029. Always confirm identity and privileges with the practice and licensing boards.

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