Unknown Individual – Nutrition Education Nutritionist, NPI 1710068499

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Nutrition Education Nutritionist. The NPI Number for Unknown Individual is 1710068499

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710068499
Phone
(773) 978-5554
Address
9357 S KINGSTON AVE
Deactivation Date
28 November 2024
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 9357, South Kingston Avenue, South Chicago Heights, Calumet Heights, Chicago, Hyde Park Township, Cook County, Illinois, 60617, United States

    CHICAGO, IL 606174042

    Phone: (773) 978-5554

    Fax: (773) 978-5802

    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 60617)

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Reviews

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Frequently asked questions

Where can patients find Unknown Individual's NPI?
You can confirm Unknown Individual with NPI 1710068499; it appears in the national provider directory.
How do I interpret inactive records for Unknown Individual?
Treat inactive as a signal to verify Unknown Individual through official channels.
Does Unknown Individual list a primary specialty?
If you are matching referrals, note Nutrition Education Nutritionist for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Chicago, Illinois because that is what the record indicates for Unknown Individual.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.