Unknown Individual – Adult Medicine Physician, NPI 1528007655

Unknown Individual is a healthcare provider. based in Evanston, Illinois. specializing in Adult Medicine Physician. The NPI Number for Unknown Individual is 1528007655

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1528007655
Phone
(847) 570-1206
Address
2650 RIDGE AVE
Deactivation Date
6 August 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

  • Evanston Hospital, 2650, Ridge Avenue, Evanston, Evanston Township, Cook County, Illinois, 60201, United States

    EVANSTON HOSPITAL RM 1210

    EVANSTON, IL 602011718

    Phone: (847) 570-1206

    Fax: (847) 570-1248

    Type: Mailing

  • Glenbrook Hospital, 2100, Pfingsten Road, Glenview, Northfield Township, Cook County, Illinois, 60026, United States

    SUITE 4028

    GLENVIEW, IL 600261301

    Phone: (847) 657-1827

    Fax: (847) 657-1829

    Type: Location

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 60201)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1528007655?
NPI 1528007655 belongs to Unknown Individual; compare other details if you need extra assurance.
Who updates status for Unknown Individual?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Evanston, Illinois as the reference point for Unknown Individual, then confirm.
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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