Unknown Individual – Oral and Maxillofacial Surgery (Dentist), NPI 1518974773

Unknown Individual is a healthcare provider. based in Skokie, Illinois. specializing in Oral and Maxillofacial Surgery (Dentist). The NPI Number for Unknown Individual is 1518974773

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1518974773
Phone
(847) 676-4590
Address
4711 GOLF RD
Deactivation Date
4 January 2023
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

  • Concourse Office Plaza North, 4711, Golf Road, Skokie, Niles Township, Cook County, Illinois, 60076, United States

    SUITE 408

    SKOKIE, IL 600761224

    Phone: (847) 676-4590

    Fax: (847) 676-4695

    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 60076)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1518974773.
What is the next step if Unknown Individual is inactive?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Oral and Maxillofacial Surgery (Dentist) for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Skokie, Illinois for Unknown Individual; expand the address list for detail.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1518974773. Always confirm identity and privileges with the practice and licensing boards.

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