Unknown Individual – Clinical Neuropsychologist, NPI 1639497886

Unknown Individual is a healthcare provider. based in Skokie, Illinois. specializing in Clinical Neuropsychologist. They hold a License No. 071.000421 (IL). The NPI Number for Unknown Individual is 1639497886

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1639497886
Phone
(847) 674-8060
Address
4711 GOLF RD
Deactivation Date
18 June 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 4711 GOLF RD

    SUITE 414

    SKOKIE, IL 600761224

    Phone: (847) 674-8060

    Mailing address matches the actual address.

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

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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)

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60076)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1639497886?
NPI 1639497886 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Clinical Neuropsychologist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Skokie?
Public fields place Unknown Individual around Skokie, Illinois. Always confirm the exact site before visiting.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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