Unknown Individual – Adult Health Nurse Practitioner, NPI 1508110347

Unknown Individual is a healthcare provider. based in Elmhurst, Illinois. specializing in Adult Health Nurse Practitioner. They hold a License No. 209.009961 (IL). The NPI Number for Unknown Individual is 1508110347

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1508110347
Phone
(800) 683-7861
Address
977 N OAKLAWN AVE
Deactivation Date
7 May 2026
Data current as of
3 June 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 977 N OAKLAWN AVE

    SUITE 104

    ELMHURST, IL 601261045

    Phone: (800) 683-7861

    Fax: (888) 856-4648

    Type: Location

  • 800 S WILMETTE AVE

    WESTMONT, IL 605598623

    Phone: (630) 696-7594

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 2 Open Payments records for all available years, with a total value of $46.

Total Amount is formed as General ($46) + Research ($0) + Ownership ($0) = $46.

Last reported payment date: 2024-10-16 • Largest payer in this snapshot: Milliken Healthcare Products, LLC ($28).

Total Amount

$46

General + Research + Ownership

Payments

2

Total payment records

General Amount

$46

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-10-16

Latest reported date

Top Companies

Largest payers in this snapshot

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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.

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 60126)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1508110347 — the number used across U.S. healthcare to identify this provider.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Adult Health Nurse Practitioner. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Elmhurst, Illinois as the headline location for Unknown Individual here.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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