Unknown Individual – Otolaryngology Physician, NPI 1437587839

Unknown Individual is a healthcare provider. based in Bloomington, Illinois. specializing in Otolaryngology Physician. They hold a License No. 036-076645 (IL). The NPI Number for Unknown Individual is 1437587839

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1437587839
Phone
(309) 828-5262
Address
1303 E WASHINGTON ST
Deactivation Date
10 May 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1303 E WASHINGTON ST

    BLOOMINGTON, IL 617014228

    Phone: (309) 828-5262

    Mailing address matches the actual address.

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 61701)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1437587839.
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 field does Unknown Individual work in?
You can think of Unknown Individual as practicing within Otolaryngology Physician. Clinical services aligned with this taxonomy classification.
What location shows for Unknown Individual?
We surface Bloomington, Illinois for Unknown Individual based on available NPPES addresses.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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