Unknown Individual – Nephrology Physician, NPI 1790743169

Unknown Individual is a healthcare provider. based in Westmont, Illinois. specializing in Nephrology Physician. They hold a License No. 036070619 (IL). The NPI Number for Unknown Individual is 1790743169

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790743169
Phone
(630) 789-2550
Address
777 OAKMONT LN
Deactivation Date
15 September 2021
Data current as of
19 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

  • 777, Oakmont Lane, Westmont, DuPage County, Illinois, 60559, United States

    SUITE 1600

    WESTMONT, IL 605595511

    Phone: (630) 789-2550

    Type: Mailing

  • 3023, North Ashland Avenue, Lake View, Chicago, Lake View Township, Cook County, Illinois, 60657, United States

    CHICAGO, IL 606573144

    Phone: (773) 525-4701

    Fax: (773) 442-0046

    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.

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 60559)

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Reviews

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Frequently asked questions

Is Unknown Individual listed with a National Provider Identifier?
Yes — Unknown Individual has NPI 1790743169 on file in the registry.
Is Unknown Individual still active if the NPI shows inactive?
NPPES shows Unknown Individual as inactive; dates on the record explain the timeline when available.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Nephrology Physician. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Westmont, Illinois as the reference point for Unknown Individual, then confirm.
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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