Unknown Individual – Emergency Medicine Physician, NPI 1487623419

Unknown Individual is a healthcare provider. based in Freeport, Illinois. specializing in Emergency Medicine Physician. They hold a License No. 036-053671 (IL). The NPI Number for Unknown Individual is 1487623419

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1487623419
Phone
Not provided
Address
1045 W STEPHENSON ST
Deactivation Date
8 April 2021
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

Loading map...

Provider Addresses for Unknown Individual

  • FHN Memorial Hospital, 1045, West Stephenson Street, Freeport, Stephenson County, Illinois, 61032, United States

    PO BOX 857

    FREEPORT, IL 610324864

    Phone:

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 61032)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1487623419.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Emergency Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Freeport, Illinois?
If you are local to Freeport, Illinois, Unknown Individual may be relevant to your search.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

Similar Providers

ERICH AWENDER (MD)

Emergency Medicine Physician
FHN Memorial Hospital, 1045, West Stephenson Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1295703510

ALEXANDER PANAGOS (MD)

Emergency Medicine Physician
West Exchange Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1285602524

ROMEO BAYOLA (MD)

Emergency Medicine Physician
FHN Memorial Hospital, 1045, West Stephenson Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1831167154

PARDEEP K. BHANOT (MD)

Emergency Medicine Physician
1045 W Stephenson St
NPI: 1477521797

AILEEN DIEHL (MD)

Emergency Medicine Physician
FHN Memorial Hospital, 1045, West Stephenson Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1366410680

THOMAS SULLIVAN (MD)

Emergency Medicine Physician
17503 BEAVERTON RD
NPI: 1740258946

CARLOS SANCHEZ (MD)

Emergency Medicine Physician
FHN Memorial Hospital, 1045, West Stephenson Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1164490256

DINESH SHARMA (MD)

Emergency Medicine Physician
FHN Memorial Hospital, 1045, West Stephenson Street, Freeport, Stephenson County, Illinois, 61032, United States
NPI: 1649249673

SYED S HAQ (D.O.)

Emergency Medicine Physician
1 Kish Hospital Dr
NPI: 1063655686