Unknown Individual – Gynecology Physician, NPI 1801194592

Unknown Individual is a healthcare provider. based in Decatur, Illinois. specializing in Gynecology Physician. They hold a License No. 036104247 (IL). The NPI Number for Unknown Individual is 1801194592

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1801194592
Phone
(217) 872-2400
Address
544 W PERSHING RD
Deactivation Date
27 February 2023
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience14
Completeness75
Years active:0State licenses:1Digital endpointsOther names

Provider Addresses for Unknown Individual

  • 544 W PERSHING RD

    SUITE A

    DECATUR, IL 62526

    Phone: (217) 872-2400

    Fax: (217) 872-2401

    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.

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

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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 62526)

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Reviews

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Frequently asked questions

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1801194592.
What happens when Unknown Individual's NPI is not active?
Public data lists Unknown Individual outside the active bucket for this identifier.
What services align with Unknown Individual's listing?
Unknown Individual's public classification highlights Gynecology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Decatur, Illinois?
If you are local to Decatur, Illinois, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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