Unknown Individual – Pulmonary Disease Physician, NPI 1558791749

Unknown Individual is a healthcare provider. based in Sycamore, Illinois. specializing in Pulmonary Disease Physician. They hold a License No. 036.116975 (IL). The NPI Number for Unknown Individual is 1558791749

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1558791749
Phone
(608) 313-9990
Address
1068 DEVONSHIRE DR S
Deactivation Date
5 November 2024
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

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

Provider Addresses for Unknown Individual

  • 1068 DEVONSHIRE DR S

    SYCAMORE, IL 601783228

    Phone: (608) 313-9990

    Fax: (608) 313-8921

    Type: Mailing

  • 1 KISH HOSPITAL DR

    DEKALB, IL 601159602

    Phone: (608) 313-9990

    Fax: (608) 313-8921

    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.

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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 60178)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1558791749 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Pulmonary Disease Physician. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Sycamore, Illinois in registry-derived data.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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