Unknown Individual – Primary Care Nurse Practitioner, NPI 1790631141

Unknown Individual is a healthcare provider. based in Schaumburg, Illinois. specializing in Primary Care Nurse Practitioner. The NPI Number for Unknown Individual is 1790631141

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790631141
Phone
(224) 562-8297
Address
129 S ROSELLE RD STE 203
Deactivation Date
20 March 2026

Contacts

Main Contact
NPPESNPIRegistry
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience10
Completeness85
Years active:0State licenses:0Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 129 S ROSELLE RD STE 203

    SCHAUMBURG, IL 601935539

    Phone: (224) 562-8297

    Fax: (888) 783-4262

    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.

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.

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 60193)

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Reviews

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Frequently asked questions

Is there an official ID for Unknown Individual in U.S. healthcare records?
The official identifier for Unknown Individual is NPI 1790631141.
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 Primary Care Nurse Practitioner in the directory — Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Schaumburg?
Public fields place Unknown Individual around Schaumburg, Illinois. Always confirm the exact site before visiting.
Does Unknown Individual accept insurance?
Insurance participation is not part of the core NPI extract — call the plan or office to confirm.

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