Unknown Individual – Clinical Psychologist, NPI 1720562929

Unknown Individual is a healthcare provider. based in Lockport, Illinois. specializing in Clinical Psychologist. The NPI Number for Unknown Individual is 1720562929

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1720562929
Phone
(815) 685-1064
Address
1013 Kylemore Ct
Deactivation Date
7 April 2026
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience5
Completeness75
Years active:0State licenses:0Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 1013 Kylemore Ct

    Lockport, IL 604412678

    Phone: (815) 685-1064

    Type: Location

  • 1013, Kylemore Court, Lockport, Will County, Illinois, 60441, United States

    LOCKPORT, IL 604412678

    Phone: (815) 685-1064

    Type: Mailing

  • Winfield Road, Warrenville, DuPage County, Illinois, 60563, United States

    WARRENVILLE, IL 605554023

    Phone: (630) 432-1170

    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.

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Medicare Enrollment & Revalidation

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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 ·

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No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 60441)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1720562929 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What expertise is attributed to Unknown Individual?
Unknown Individual's specialty line reads Clinical Psychologist. Clinical services aligned with this taxonomy classification.
What locale is associated with Unknown Individual?
Directory geography for Unknown Individual centers on Lockport, Illinois.
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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