Unknown Individual – Obstetrics & Gynecology Physician, NPI 1558464032

Unknown Individual is a healthcare provider. based in Wheaton, Illinois. specializing in Obstetrics & Gynecology Physician. The NPI Number for Unknown Individual is 1558464032

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558464032
Phone
(630) 614-4121
Address
2001 W WIESBROOK RD
Deactivation Date
6 February 2025
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

  • West Wiesbrook Road, Wheaton, DuPage County, Illinois, 60187, United States

    WHEATON, IL 601877813

    Phone: (630) 614-4121

    Fax: (630) 614-4133

    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 60187)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1558464032 for Unknown Individual, then check state licensing separately.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Obstetrics & Gynecology Physician. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Wheaton, Illinois in our summary view.
How many locations tie to this NPI?
2 practice locations appear in the available data.

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