Unknown Individual – Addiction (Substance Use Disorder) Counselor, NPI 1700307972

Unknown Individual is a healthcare provider. based in Ottawa, Illinois. specializing in Addiction (Substance Use Disorder) Counselor. They hold a License No. 32374 (IL). The NPI Number for Unknown Individual is 1700307972

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1700307972
Phone
Not provided
Address
421 OAKRIDGE DR
Deactivation Date
1 May 2025
Data current as of
20 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

  • 421, Oakridge Drive, Ottawa, LaSalle County, Illinois, 61350, United States

    OTTAWA, IL 613501244

    Phone:

    Type: Mailing

  • 401, West Bridge Street, Streator, LaSalle County, Illinois, 61364, United States

    STREATOR, IL 613642705

    Phone: (815) 220-0299

    Fax: (815) 220-0583

    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 61350)

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Reviews

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Frequently asked questions

What is Unknown Individual's NPI number?
Unknown Individual's NPI is 1700307972 — the number used across U.S. healthcare to identify this provider.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Addiction (Substance Use Disorder) Counselor in the directory — Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Ottawa, Illinois as the reference point for Unknown Individual, then confirm.
Can I trust this NPI listing for Unknown Individual?
The listing is sourced from the national NPI registry. If something looks off, compare with NPPES and the clinic's website.

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