Unknown Individual – Adult Medicine Physician, NPI 1558707075

Unknown Individual is a healthcare provider. based in Riverside, Illinois. specializing in Adult Medicine Physician. They hold a License No. 36-41698 (IL). The NPI Number for Unknown Individual is 1558707075

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558707075
Phone
(708) 447-7427
Address
175 NORTHGATE RD
Deactivation Date
21 January 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience19
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 175 NORTHGATE RD

    RIVERSIDE, IL 605461683

    Phone: (708) 447-7427

    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 60546)

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Reviews

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Frequently asked questions

What number should I use to identify Unknown Individual for billing?
Administrative and clinical systems typically use NPI 1558707075 for Unknown Individual.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Adult Medicine Physician. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Riverside, Illinois?
For routing, start with Riverside, Illinois for Unknown Individual, then verify phone and hours locally.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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