Unknown Individual – Community/Behavioral Health Agency, NPI 1629663281

Unknown Individual is a healthcare provider. based in Roselle, Illinois. specializing in Community/Behavioral Health Agency. The NPI Number for Unknown Individual is 1629663281

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1629663281
Phone
(847) 791-4384
Address
910 LAKE ST STE 120
Deactivation Date
26 March 2026
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 910 LAKE ST STE 120

    ROSELLE, IL 601723383

    Phone: (847) 791-4384

    Fax: (847) 426-5384

    Type: Location

  • 1375 E SCHAUMBURG RD STE 120

    SCHAUMBURG, IL 601943643

    Phone: (847) 791-4384

    Type: Mailing

  • 783 S 8th St

    West Dundee, IL 601182108

    Phone: (847) 791-4384

    Fax: (847) 426-5384

    Type: Location

  • 1375 E Schaumburg Rd Ste 120

    Schaumburg, IL 601943643

    Phone: (847) 791-4384

    Fax: (847) 426-5384

    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.

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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 60172)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1629663281?
NPI 1629663281 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Community/Behavioral Health Agency. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Roselle?
Public fields place Unknown Individual around Roselle, Illinois. Always confirm the exact site before visiting.
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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