Unknown Individual – Licensed Practical Nurse, NPI 1366543431

Unknown Individual is a healthcare provider. based in Christopher, Illinois. specializing in Licensed Practical Nurse. The NPI Number for Unknown Individual is 1366543431

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1366543431
Phone
(618) 724-2401
Address
PO BOX 155
Deactivation Date
2 August 2021
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 155

    REA CLINIC

    CHRISTOPHER, IL 62822

    Phone: (618) 724-2401

    Fax: (618) 724-2571

    Type: Mailing

  • 119 GAS PLANT ROAD

    REA CLINIC DUQUOIN

    DUQUOIN, IL 62832

    Phone: (618) 724-8702

    Fax: (618) 724-8792

    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 62822)

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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 1366543431 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's primary classification?
Licensed Practical Nurse is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Christopher, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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