Unknown Individual – Surgery Physician, NPI 1497845242

Unknown Individual is a healthcare provider. based in Marion, Illinois. specializing in Surgery Physician. The NPI Number for Unknown Individual is 1497845242

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497845242
Phone
(618) 997-5311
Address
2401 W MAIN ST
Deactivation Date
6 July 2022
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

  • 2401, West Main Street, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629591188

    Phone: (618) 997-5311

    Type: Location

  • 410, Bainbridge Road, Marion, Williamson County, Illinois, 62959, United States

    MARION, IL 629591314

    Phone: (618) 997-4721

    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.

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 62959)

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Reviews

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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 1497845242.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
Which specialty label fits Unknown Individual?
NPPES ties Unknown Individual to Surgery Physician in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Marion, Illinois?
If you are local to Marion, Illinois, Unknown Individual may be relevant to your search.
Can I verify credentials using only NPI?
NPI confirms identity in the directory; licensure and board certification require separate checks.

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