Unknown Individual – Cardiovascular Disease Physician, NPI 1427076058

Unknown Individual is a healthcare provider. based in Bannockburn, Illinois. specializing in Cardiovascular Disease Physician. They hold a License No. 36048684 (IL). The NPI Number for Unknown Individual is 1427076058

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1427076058
Phone
(847) 444-5300
Address
2151 WAUKEGAN RD
Deactivation Date
12 March 2026
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

  • 2151, Waukegan Road, Deerfield, Bannockburn, Lake County, Illinois, 60015, United States

    SUITE 100

    BANNOCKBURN, IL 600151885

    Phone: (847) 444-5300

    Fax: (847) 267-0694

    Type: Mailing

  • Kenton Avenue, Skokie, Niles Township, Cook County, Illinois, 60076, United States

    SUITE 601

    SKOKIE, IL 60076

    Phone: (847) 444-5300

    Fax: (847) 267-0694

    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.

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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 60015)

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Provider's Procedures

Unknown Individual performs procedures in Cardiovascular Disease Physician. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
CARDIOVASCULAR DISEASE (CARDIOLOGY)IL93010Routine electrocardiogram (EKG) using at least 12 leads with interpretation and report61113329

Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1427076058 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Cardiovascular Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see Bannockburn, Illinois on file for Unknown Individual alongside any extra practice locations.
What if Bannockburn, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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