Unknown Individual – Pharmacist, NPI 1710939624

Unknown Individual is a healthcare provider. based in Oak forest, Illinois. specializing in Pharmacist. The NPI Number for Unknown Individual is 1710939624

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710939624
Phone
(708) 606-5132
Address
5234 DIANE CT
Deactivation Date
1 May 2025
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness75
Years active:0State licenses:0Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • 5234, Diane Court, Oak Forest, Bremen Township, Cook County, Illinois, 60452, United States

    OAK FOREST, IL 604522205

    Phone: (708) 606-5132

    Fax: (708) 925-0889

    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 60452)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1710939624 for Unknown Individual, then check state licensing separately.
Is Unknown Individual excluded from programs when inactive?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What healthcare role does Unknown Individual hold?
Scheduling teams often label Unknown Individual under Pharmacist. Clinical services aligned with this taxonomy classification.
Does Unknown Individual list a practice location?
Patients near Oak Forest, Illinois may find Unknown Individual in results; validate coverage separately.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.