Unknown Individual – Psychologist, NPI 1669470803

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Psychologist. They hold a License No. 32446 (IL). The NPI Number for Unknown Individual is 1669470803

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669470803
Phone
(312) 642-2227
Address
676 N SAINT CLAIR ST
Deactivation Date
3 March 2022
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

  • The Corner Bakery, 676, North Saint Clair Street, Streeterville, Near North Side, Chicago, Cook County, Illinois, 60611, United States

    STE 1735

    CHICAGO, IL 606112927

    Phone: (312) 642-2227

    Fax: (312) 642-2232

    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.

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 60611)

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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 1669470803; it appears in the national provider directory.
Why would Unknown Individual's listing show inactive?
Inactive in NPPES means the identifier is not currently active in that dataset.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see Chicago, Illinois on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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