Unknown Individual – Neurological Surgery Physician, NPI 1548374838

Unknown Individual is a healthcare provider. based in Kankakee, Illinois. specializing in Neurological Surgery Physician. They hold a License No. 036-079256 (IL). The NPI Number for Unknown Individual is 1548374838

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1548374838
Phone
(815) 936-3204
Address
555 W COURT ST
Deactivation Date
14 March 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

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Provider Addresses for Unknown Individual

  • 555, West Court Street, Kankakee, Kankakee County, Illinois, 60901, United States

    SUITE 412

    KANKAKEE, IL 609013664

    Phone: (815) 936-3204

    Fax: (815) 936-5185

    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)

CMS reports 1 Open Payments records for all available years, with a total value of $85.

Total Amount is formed as General ($85) + Research ($0) + Ownership ($0) = $85.

Last reported payment date: 2023-05-02 • Largest payer in this snapshot: SI-BONE, INC. ($85).

Total Amount

$85

General + Research + Ownership

Payments

1

Total payment records

General Amount

$85

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-05-02

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
SI-BONE, INC.$85
View all Open Payments →|Open Payments Risk Radar →

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 60901)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1548374838 — is the standard way to identify this listing.
Why might Unknown Individual appear inactive while still practicing?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Neurological Surgery Physician is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Kankakee, Illinois in the data we show; additional addresses may exist on the full record.
Is specialty guaranteed by NPI alone?
Taxonomy selections describe intent; scope of practice still follows state law.

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