Unknown Individual – Federally Qualified Health Center (FQHC), NPI 1417567108

Unknown Individual is a healthcare provider. based in La grange, Illinois. specializing in Federally Qualified Health Center (FQHC). The NPI Number for Unknown Individual is 1417567108

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417567108
Phone
(708) 745-5277
Address
23 W CALENDAR AVE
Deactivation Date
13 December 2022
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

  • 23 W CALENDAR AVE

    LA GRANGE, IL 605252365

    Phone: (708) 745-5277

    Type: Mailing

  • 15W458 91ST ST

    BURR RIDGE, IL 605276379

    Phone: (708) 745-5277

    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.

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 60525)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1417567108; it appears in the national provider directory.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What does Unknown Individual treat or focus on?
Patients typically see Unknown Individual under the specialty Federally Qualified Health Center (FQHC). Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see La Grange, Illinois on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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