Unknown Individual – Hematology & Oncology Physician, NPI 1386621555

Hematology & Oncology Physician

Unknown Individual is a healthcare provider. based in Maywood, Illinois. specializing in Hematology & Oncology Physician. The NPI Number for Unknown Individual is 1386621555

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1386621555

Phone

(708) 216-9000

Address

2160 S FIRST AVE

Deactivation Date

20 December 2023

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

2160 S FIRST AVE
101-1740
MAYWOOD, IL 60153
Phone: (708) 216-9000
Fax: (708) 327-2210
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.

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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 60153)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?

The NPI 1386621555 uniquely identifies Unknown Individual in U.S. healthcare data.

What should I verify if Unknown Individual is listed inactive?

If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.

Which specialty label fits Unknown Individual?

NPPES ties Unknown Individual to Hematology & Oncology Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.

Which community is linked to Unknown Individual?

Unknown Individual shows a connection to Maywood, Illinois in registry-derived data.

Can I verify credentials using only NPI?

NPI confirms identity in the directory; licensure and board certification require separate checks.