Unknown Individual – Adult Psychiatric/Mental Health Clinical Nurse Specialist, NPI 1477580900

Unknown Individual is a healthcare provider. based in Hines, Illinois. specializing in Adult Psychiatric/Mental Health Clinical Nurse Specialist. The NPI Number for Unknown Individual is 1477580900

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1477580900
Phone
(708) 202-3619
Address
5TH AVENUE AND ROOSEVELT ROAD
Deactivation Date
15 May 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

Provider Addresses for Unknown Individual

  • 5TH AVENUE AND ROOSEVELT ROAD

    (116A3)

    HINES, IL 60141

    Phone: (708) 202-3619

    Fax: (708) 202-2108

    Type: Location

  • 3600 North Lake Shore Drive, 3600, North Lake Shore Drive, Pine Grove, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    #2415

    CHICAGO, IL 606134684

    Phone: (773) 327-8620

    Type: Mailing

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 60141)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1477580900.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Adult Psychiatric/Mental Health Clinical Nurse Specialist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Hines, Illinois may find Unknown Individual in results; validate coverage separately.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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