Unknown Individual – Family Nurse Practitioner, NPI 1386008936

Unknown Individual is a healthcare provider. based in Park forest, Illinois. specializing in Family Nurse Practitioner. They hold a License No. 209014058 (IL). The NPI Number for Unknown Individual is 1386008936

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1386008936
Phone
Not provided
Address
245 MIAMI ST
Deactivation Date
16 November 2022
Data current as of
20 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

  • 245, Miami Street, Park Forest, Rich Township, Cook County, Illinois, 60466, United States

    PARK FOREST, IL 604661928

    Phone:

    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 60466)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1386008936 if you need a stable reference for Unknown Individual.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
What field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Family Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see Park Forest, Illinois on file for Unknown Individual alongside any extra practice locations.
What if Park Forest, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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