Unknown Individual – Dermatology Physician, NPI 1619098449

Unknown Individual is a healthcare provider. based in Oak brook, Illinois. specializing in Dermatology Physician. They hold a License No. 036-042506 (IL). The NPI Number for Unknown Individual is 1619098449

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619098449
Phone
(630) 920-9192
Address
PO BOX 3636
Deactivation Date
17 May 2021
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience24
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • PO BOX 3636

    OAK BROOK, IL 605223636

    Phone: (630) 920-9192

    Fax: (630) 920-2112

    Type: Mailing

  • 708 MIDWEST CLUB PKWY

    OAK BROOK, IL 605232531

    Phone: (630) 920-9192

    Fax: (630) 920-2112

    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.

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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 60522)

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Reviews

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Frequently asked questions

What is the 10-digit NPI for Unknown Individual?
Unknown Individual — NPI 1619098449 — is the standard way to identify this listing.
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 is Unknown Individual's specialty?
The listing groups Unknown Individual with Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Oak Brook, Illinois in the data we show; additional addresses may exist on the full record.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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