Unknown Individual – Registered Nurse, NPI 1770027625

Unknown Individual is a healthcare provider. based in Eldorado, Illinois. specializing in Registered Nurse. They hold a License No. 041282333 (IL). The NPI Number for Unknown Individual is 1770027625

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770027625
Phone
(618) 294-3317
Address
2017 ILLINOIS AVE
Deactivation Date
14 December 2022
Data current as of
20 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

  • 2017, Illinois Avenue, Saline City, Eldorado, Saline County, Illinois, 62930, United States

    ELDORADO, IL 629301822

    Phone: (618) 294-3317

    Type: Mailing

  • 323, South Maple Street, Gaskins City, Harrisburg, Saline County, Illinois, 62946, United States

    HARRISBURG, IL 629461912

    Phone: (618) 253-7681

    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

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 62930)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1770027625 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Registered Nurse for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where does public data place Unknown Individual?
The snapshot lists Eldorado, Illinois for Unknown Individual; download NPPES for the complete set.
Is this NPI for an individual or an organization?
This listing corresponds to an Individual Provider.

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