Unknown Individual – Mental Health Clinic/Center (Including Community Mental Health Center), NPI 1619431020

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Mental Health Clinic/Center (Including Community Mental Health Center). The NPI Number for Unknown Individual is 1619431020

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1619431020
Phone
Not provided
Address
216 W JACKSON BLVD STE 700
Deactivation Date
30 March 2021
Data current as of
20 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

  • 216 W JACKSON BLVD STE 700

    CHICAGO, IL 606066921

    Phone:

    Type: Mailing

  • 1800, Ridge Road, Homewood, Thornton Township, Cook County, Illinois, 60430, United States

    UNIT 204, SUITE 4

    HOMEWOOD, IL 60430

    Phone: (312) 357-4800

    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.

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 60606)

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Reviews

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Frequently asked questions

What federal number belongs to Unknown Individual?
The federal identifier for Unknown Individual is NPI 1619431020.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Mental Health Clinic/Center (Including Community Mental Health Center) for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Chicago, Illinois for Unknown Individual; expand the address list for detail.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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