Unknown Individual – Speech-Language Pathologist, NPI 1376769844

Unknown Individual is a healthcare provider. based in No henderson, Illinois. specializing in Speech-Language Pathologist. They hold a License No. 0146005508 (IL). The NPI Number for Unknown Individual is 1376769844

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1376769844
Phone
(309) 464-5254
Address
PO BOX 125
Deactivation Date
9 October 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

Provider Addresses for Unknown Individual

  • PO BOX 125

    NO HENDERSON, IL 614660125

    Phone: (309) 464-5254

    Fax: (309) 464-5254

    Type: Mailing

  • 4102 BELMONT PT

    CHAMPAIGN, IL 61822

    Phone: (217) 366-0033

    Fax: (217) 366-0012

    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

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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 61466)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?
NPI 1376769844 is assigned to Unknown Individual under the national enumeration system.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Speech-Language Pathologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes No Henderson, Illinois for Unknown Individual; expand the address list for detail.
What if No Henderson, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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