Unknown Individual – Infectious Disease Physician, NPI 1669492633

Unknown Individual is a healthcare provider. based in Burr ridge, Illinois. specializing in Infectious Disease Physician. They hold a License No. 4301032762 (MI). The NPI Number for Unknown Individual is 1669492633

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1669492633
Phone
(888) 220-6432
Address
901 MCCLINTOCK DR.
Deactivation Date
31 July 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • McClintock Drive, Burr Ridge, Lyons Township, Cook County, Illinois, 60480, United States

    SUITE 202

    BURR RIDGE, IL 605270844

    Phone: (888) 220-6432

    Fax: (630) 654-4253

    Type: Mailing

  • 5280, Metropolitan Parkway, Sterling Heights, Macomb County, Michigan, 48310, United States

    STERLING HEIGHTS, MI 48310

    Phone: (586) 446-8688

    Fax: (586) 446-9994

    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.

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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.

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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 60527)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1669492633?
NPI 1669492633 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.
What clinical focus is listed for Unknown Individual?
At a glance, Unknown Individual is tied to Infectious Disease Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual located near Burr Ridge?
Unknown Individual currently maps to Burr Ridge, Illinois in this extract.
What does 2 location(s) imply?
2 practice locations appear in the available data.

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