Unknown Individual – Psychologist, NPI 1699971382

Unknown Individual is a healthcare provider. based in Buffalo grove, Illinois. specializing in Psychologist. They hold a License No. 071001567 (IL). The NPI Number for Unknown Individual is 1699971382

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1699971382
Phone
(847) 854-7881
Address
830 S BUFFALO GROVE RD
Deactivation Date
3 April 2024
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

  • South Buffalo Grove Road, Buffalo Grove, Wheeling Township, Cook County, Illinois, 60089, United States

    SUITE 112

    BUFFALO GROVE, IL 600893772

    Phone: (847) 854-7881

    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 60089)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1699971382 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Psychologist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Buffalo Grove, Illinois for Unknown Individual; download NPPES for the complete set.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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