Unknown Individual – Emergency Medicine Physician, NPI 1417972829

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Emergency Medicine Physician. The NPI Number for Unknown Individual is 1417972829

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1417972829
Phone
(866) 916-5259
Address
75 REMIT DRIVE
Deactivation Date
1 June 2024
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

  • 75 REMIT DRIVE

    LOCKBOX 6065

    CHICAGO, IL 606756065

    Phone: (866) 916-5259

    Fax: (231) 922-4030

    Type: Mailing

  • Saint Anthony's Memorial Hospital, 503, North Maple Street, Effingham, Effingham County, Illinois, 62401, United States

    EFFINGHAM, IL 624012006

    Phone: (217) 342-2121

    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 60675)

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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 1417972829 on file in the registry.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Chicago, Illinois as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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