Unknown Individual – Clinical Social Worker, NPI 1497797542

Unknown Individual is a healthcare provider. based in Lake villa, Illinois. specializing in Clinical Social Worker. The NPI Number for Unknown Individual is 1497797542

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497797542
Phone
(847) 831-5925
Address
34930 N HIGHWAY 45
Deactivation Date
19 April 2021
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

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Provider Addresses for Unknown Individual

  • North Highway 45, Millburn, Old Mill Creek, Lake, Illinois, United States

    SUITE 110

    LAKE VILLA, IL 600467537

    Phone: (847) 831-5925

    Fax: (847) 574-0841

    Type: Location

  • 1180, Sherwood Road, Highland Park, Lake County, Illinois, 60035, United States

    HIGHLAND PARK, IL 600352934

    Phone: (847) 831-5925

    Fax: (847) 574-0841

    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.

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.

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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 60046)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1497797542 as the unique 10-digit identifier.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Clinical Social Worker in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Lake Villa?
Unknown Individual currently maps to Lake Villa, Illinois in this extract.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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