Unknown Individual – Emergency Medicine Physician, NPI 1417060526

Unknown Individual is a healthcare provider. based in Oak brook, Illinois. specializing in Emergency Medicine Physician. They hold a License No. 02001971A (IN). The NPI Number for Unknown Individual is 1417060526

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417060526
Phone
(630) 734-0200
Address
PO BOX 5168
Deactivation Date
11 October 2024
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

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Provider Addresses for Unknown Individual

  • Oak Brook Post Office, 1314, Kensington Road, Oak Brook, DuPage County, Illinois, 60523, United States

    OAK BROOK, IL 605225168

    Phone: (630) 734-0200

    Type: Mailing

  • Saint Catherine Hospital, 4321, Fir Street, Indiana Harbor, East Chicago, Lake County, Indiana, 46312, United States

    EAST CHICAGO, IN 463123049

    Phone: (219) 392-1700

    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.

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 60522)

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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 1417060526 on file in the registry.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Oak Brook?
Public fields place Unknown Individual around Oak Brook, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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