Unknown Individual – Internal Medicine Physician, NPI 1477592921

Internal Medicine Physician

Unknown Individual is a healthcare provider. based in Villa park, Illinois. specializing in Internal Medicine Physician. They hold a License No. 036081229 (IL). The NPI Number for Unknown Individual is 1477592921

Main info

Organization

Inactive

Name

Unknown Individual

NPI

1477592921

Phone

(630) 832-9000

Address

33 S VILLA AVE

Deactivation Date

11 November 2023

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

33, South Villa Avenue, Villa Park, DuPage County, Illinois, 60181, United States
SUITE 2
VILLA PARK, IL 60181
Phone: (630) 832-9000
Fax: (630) 832-9079
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 60181)

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Reviews

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Frequently asked questions

What unique ID ties claims to Unknown Individual?

NPI 1477592921 is assigned to Unknown Individual under the national enumeration system.

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 Internal Medicine Physician. Clinical services aligned with this taxonomy classification.

Where is Unknown Individual's primary listing?

We display Villa Park, Illinois because that is what the record indicates for Unknown Individual.

Is Unknown Individual a real provider?

This page reflects official NPPES data for NPI 1477592921. Always confirm identity and privileges with the practice and licensing boards.