Unknown Individual – Ophthalmology Physician, NPI 1740302397

Unknown Individual is a healthcare provider. based in Loves park, Illinois. specializing in Ophthalmology Physician. The NPI Number for Unknown Individual is 1740302397

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1740302397
Phone
(815) 395-8338
Address
4105 N PERRYVILLE RD
Deactivation Date
6 September 2025
Data current as of
19 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

  • 4105 N PERRYVILLE RD

    LOVES PARK, IL 611118653

    Phone: (815) 395-8338

    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.

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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)

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

Insurance plans in this area (ZIP 61111)

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Reviews

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Frequently asked questions

Can I cross-check Unknown Individual using NPI 1740302397?
NPI 1740302397 belongs to Unknown Individual; compare other details if you need extra assurance.
Does inactive status mean Unknown Individual stopped practicing?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What kind of doctor is Unknown Individual?
Unknown Individual is associated with Ophthalmology Physician in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Loves Park?
Public fields place Unknown Individual around Loves Park, 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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