Unknown Individual – Registered Dietitian, NPI 1407062649

Unknown Individual is a healthcare provider. based in Evergreen park, Illinois. specializing in Registered Dietitian. The NPI Number for Unknown Individual is 1407062649

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1407062649
Phone
(708) 229-5923
Address
2800 W 95TH ST
Deactivation Date
5 April 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

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Provider Addresses for Unknown Individual

  • Little Company of Mary Hospital, 2800, West 95th Street, Evergreen Park, Worth Township, Cook County, Illinois, 60805, United States

    EVERGREEN PARK, IL 608052701

    Phone: (708) 229-5923

    Type: Location

  • 24, Brook Lane, Palos Park, Palos Township, Cook County, Illinois, 60464, United States

    PALOS PARK, IL 604641291

    Phone: (708) 229-5923

    Fax: (708) 229-5308

    Type: Mailing

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 60805)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1407062649 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Registered Dietitian. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Evergreen Park, Illinois as the reference point for Unknown Individual, then confirm.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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