Unknown Individual – Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician, NPI 1790850683

Unknown Individual is a healthcare provider. based in Maywood, Illinois. specializing in Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician. The NPI Number for Unknown Individual is 1790850683

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1790850683
Phone
(708) 344-5300
Address
318 MADISON ST
Deactivation Date
10 May 2022
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

  • Madison Street, Maywood, Proviso Township, Cook County, Illinois, 60153, United States

    MAYWOOD, IL 601532151

    Phone: (708) 344-5300

    Type: Location

  • 27, Cambridge Drive, Oak Brook, DuPage County, Illinois, 60523, United States

    OAK BROOK, IL 605231704

    Phone: (630) 986-5839

    Type: Mailing

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 60153)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1790850683 uniquely identifies Unknown Individual in U.S. healthcare data.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Maywood, Illinois in the same public data insurers reference.
Can I export Unknown Individual's record?
You can download the official NPPES record; we summarize key fields for readability.

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