Unknown Individual – Foot & Ankle Surgery Podiatrist, NPI 1699852905

Unknown Individual is a healthcare provider. based in Joliet, Illinois. specializing in Foot & Ankle Surgery Podiatrist. They hold a License No. 016002950 (IL). The NPI Number for Unknown Individual is 1699852905

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1699852905
Phone
(815) 744-2107
Address
3077 W JEFFERSON ST
Deactivation Date
20 May 2021
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

  • 3077, West Jefferson Street, Joliet, Troy Township, Will County, Illinois, 60435, United States

    STE 204

    JOLIET, IL 604355262

    Phone: (815) 744-2107

    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 60435)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1699852905 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What does the directory say Unknown Individual does?
Insurance directories may phrase it differently, but here Unknown Individual maps to Foot & Ankle Surgery Podiatrist. Clinical services aligned with this taxonomy classification.
Which community is linked to Unknown Individual?
Unknown Individual shows a connection to Joliet, Illinois in registry-derived data.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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