Unknown Individual – Physical Therapist, NPI 1710979398

Unknown Individual is a healthcare provider. based in Oak brook, Illinois. specializing in Physical Therapist. They hold a License No. 5501002833 (MI). The NPI Number for Unknown Individual is 1710979398

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1710979398
Phone
(630) 575-6200
Address
625 ENTERPRISE DR
Deactivation Date
24 May 2022
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

  • 625, Enterprise Drive, Oak Brook, DuPage County, Illinois, 60523, United States

    OAK BROOK, IL 605238813

    Phone: (630) 575-6200

    Fax: (630) 928-5080

    Type: Mailing

  • Springport Road, Minard's Mill, Tompkins, Tompkins Township, Jackson County, Michigan, 49269, United States

    JACKSON, MI 492019060

    Phone: (517) 435-3461

    Fax: (517) 768-9951

    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.

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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 60523)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1710979398?
NPI 1710979398 belongs to Unknown Individual; compare other details if you need extra assurance.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Physical Therapist. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Oak Brook?
Public fields place Unknown Individual around Oak Brook, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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