Unknown Individual – Emergency Medicine Physician, NPI 1629002159

Unknown Individual is a healthcare provider. based in Hoffman estates, Illinois. specializing in Emergency Medicine Physician. They hold a License No. 036110033 (IL). The NPI Number for Unknown Individual is 1629002159

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629002159
Phone
(847) 843-2000
Address
1555 BARRINGTON RD
Deactivation Date
5 December 2024
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

  • Hoffman Estates, Prairie Stone Parkway, Hoffman Estates, Barrington Township, Cook County, Illinois, 60179, United States

    HOFFMAN ESTATES, IL 601941019

    Phone: (847) 843-2000

    Type: Location

  • Oak Brook Fire Department, Oak Brook Road, Oak Brook, DuPage County, Illinois, 60523, United States

    PO BOX 4653

    OAK BROOK, IL 605224653

    Phone: (630) 734-0200

    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.

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 60194)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1629002159; it appears in the national provider directory.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Emergency Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Hoffman Estates, Illinois for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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