Unknown Individual – Professional Counselor, NPI 1619076148

Unknown Individual is a healthcare provider. based in Western springs, Illinois. specializing in Professional Counselor. The NPI Number for Unknown Individual is 1619076148

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619076148
Phone
(708) 354-0826
Address
1023 BURLINGTON AVE
Deactivation Date
26 March 2026
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

  • 1023, Burlington Avenue, Western Springs, Lyons Township, Cook County, Illinois, 60558, United States

    WESTERN SPRINGS, IL 60558

    Phone: (708) 354-0826

    Fax: (708) 354-0826

    Type: Location

  • Cambria Lane South, Lombard, DuPage County, Illinois, 60148, United States

    LOMBARD, IL 60148

    Phone: (630) 932-7827

    Fax: (708) 354-0867

    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.

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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 60558)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1619076148 as the unique 10-digit identifier.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Professional Counselor in the directory — Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Western Springs, Illinois as the headline location for Unknown Individual here.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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