Unknown Individual – Pediatrics Physician, NPI 1679571517

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Pediatrics Physician. They hold a License No. 15916 (KY). The NPI Number for Unknown Individual is 1679571517

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1679571517
Phone
(502) 588-9490
Address
PO BOX 766351
Deactivation Date
4 June 2026
Data current as of
10 June 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

  • Music Box Theatre, 3733, North Southport Avenue, Wrigleyville, Lake View, Lakeview, Chicago, Lake View Township, Cook County, Illinois, 60613, United States

    CHICAGO, IL 606776351

    Phone: (502) 588-9490

    Fax: (502) 272-5116

    Type: Mailing

  • 4, Physicians Park, Frankfort, Franklin County, Kentucky, 40601, United States

    FRANKFORT, KY 406014181

    Phone: (502) 223-8400

    Fax: (502) 875-3073

    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.

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 60677)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1679571517 — the number used across U.S. healthcare to identify this provider.
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 expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Pediatrics Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Chicago, Illinois.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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