Unknown Individual – Plastic Surgery Physician, NPI 1790772820

Unknown Individual is a healthcare provider. based in Chicago, Illinois. specializing in Plastic Surgery Physician. They hold a License No. 036042900 (IL). The NPI Number for Unknown Individual is 1790772820

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790772820
Phone
(312) 238-1000
Address
345 E SUPERIOR ST
Deactivation Date
15 June 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

  • Rehabilitation Institute of Chicago, 345, East Superior Street, Streeterville, Near North Side, Chicago, North Chicago Township, Cook County, Illinois, 60611, United States

    CHICAGO, IL 606112654

    Phone: (312) 238-1000

    Fax: (312) 238-5846

    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.

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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 60611)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1790772820 when you need to reference Unknown Individual in forms, claims, or directories.
Is Unknown Individual's inactive status permanent?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
What kind of provider is Unknown Individual?
The page reflects Plastic Surgery Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What location metadata exists for Unknown Individual?
The page summarizes Chicago, Illinois for Unknown Individual; expand the address list for detail.
What if Chicago, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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