Unknown Individual – Professional Counselor, NPI 1770635054

Unknown Individual is a healthcare provider. based in Lake forest, Illinois. specializing in Professional Counselor. The NPI Number for Unknown Individual is 1770635054

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1770635054
Phone
(847) 234-5325
Address
1155 OLD COLONY ROAD
Deactivation Date
17 May 2023
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

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Provider Addresses for Unknown Individual

  • 1155, Old Colony Road, Lake Forest Heights, Lake Forest, Lake County, Illinois, 60045, United States

    LAKE FOREST, IL 600453866

    Phone: (847) 234-5325

    Fax: (847) 234-5325

    Type: Mailing

  • 51, Sherwood Terrace, Lake Bluff, Lake County, Illinois, 60044, United States

    SUITE H

    LAKE BLUFF, IL 600442232

    Phone: (847) 295-2150

    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.

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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 60045)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1770635054.
Does inactive mean outdated data for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
How should patients interpret Unknown Individual's specialty?
The extract shows Professional Counselor for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Lake Forest, Illinois?
For routing, start with Lake Forest, Illinois for Unknown Individual, then verify phone and hours locally.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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