Unknown Individual – Clinical Social Worker, NPI 1639188030

Unknown Individual is a healthcare provider. based in Wheaton, Illinois. specializing in Clinical Social Worker. The NPI Number for Unknown Individual is 1639188030

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639188030
Phone
(630) 784-4830
Address
222 E WILLOW AVE
Deactivation Date
1 January 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

  • 222, East Willow Avenue, Wheaton, DuPage County, Illinois, 60187, United States

    WHEATON, IL 601875426

    Phone: (630) 784-4830

    Fax: (630) 682-5276

    Type: Location

  • 354, Cumnor Avenue, Glen Ellyn, DuPage County, Illinois, 60137, United States

    GLEN ELLYN, IL 601374840

    Phone: (630) 469-7825

    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.

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 60187)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1639188030.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Wheaton, Illinois in registry-derived data.
Who maintains Unknown Individual's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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