Unknown Individual – Athletic Trainer, NPI 1609806496

Unknown Individual is a healthcare provider. based in Orland park, Illinois. specializing in Athletic Trainer. They hold a License No. 96001769 (IL). The NPI Number for Unknown Individual is 1609806496

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1609806496
Phone
(708) 460-8588
Address
15635 S 94TH AVE
Deactivation Date
28 January 2022
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

  • 15635, South 94th Avenue, Orland Park, Orland Township, Cook County, Illinois, 60462, United States

    ORLAND PARK, IL 604624722

    Phone: (708) 460-8588

    Type: Location

  • 4232, 149th Street, Midlothian, Bremen Township, Cook County, Illinois, 60445, United States

    MIDLOTHIAN, IL 604453313

    Phone: (708) 204-9661

    Type: Mailing

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 60462)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1609806496.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Athletic Trainer. Clinical services aligned with this taxonomy classification.
What area does Unknown Individual serve?
Unknown Individual's listing highlights Orland Park, Illinois; more addresses can appear in NPPES.
Is the information about Unknown Individual up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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