Unknown Individual – Registered Dietitian, NPI 1811057813

Unknown Individual is a healthcare provider. based in Park ridge, Illinois. specializing in Registered Dietitian. The NPI Number for Unknown Individual is 1811057813

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811057813
Phone
(847) 723-8342
Address
1775 BALLARD RD
Deactivation Date
26 July 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

Loading map...

Provider Addresses for Unknown Individual

  • 1775, Ballard Road, Ballard, Martin County, North Carolina, 27892, United States

    PARK RIDGE, IL 600681005

    Phone: (847) 723-8342

    Fax: (847) 723-2020

    Type: Location

  • 7494, Brookside Drive, Hanover Park, Schaumburg Township, Cook County, Illinois, 60133, United States

    HANOVER PARK, IL 601332603

    Phone:

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

Loading prescription activity...

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 60068)

Loading plans...

Reviews

All reviews are moderated before publication. Reviews reflect users' opinions; we do not verify the accuracy of individual reviews.

No reviews yet. Be the first to share your experience — your opinion helps families compare providers.

Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1811057813 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Registered Dietitian. Clinical services aligned with this taxonomy classification.
What practice footprint exists for Unknown Individual?
Travel planning: use Park Ridge, Illinois as the reference point for Unknown Individual, then confirm.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

Similar Providers

Au Bon Pain, 5841, South Maryland Avenue, Hyde Park, Chicago, Hyde Park Township, Cook County, Illinois, 60637, United States
NPI: 1033130943

MR. MATTHEW MICHAEL LAUCK (RD)

Registered Dietitian
1775, Ballard Road, Ballard, Martin County, North Carolina, 27892, United States
NPI: 1124134135

MRS. SUE F ROSE (LDN)

Registered Dietitian
1580 N NORTHWEST HWY STE 228-B
NPI: 1881783033
1317 ELLIOTT ST
NPI: 1184741167

BARBARA FINE

Registered Dietitian
3930 N PINE GROVE AVE APT 1009
NPI: 1508063082
4, West Leon Lane, Prospect Heights, Wheeling Township, Cook County, Illinois, 60070, United States
NPI: 1376741231
333, May Avenue, Glen Ellyn, DuPage County, Illinois, 60137, United States
NPI: 1780882399
7129, West Berwyn Avenue, Norwood Park, Chicago, Jefferson Township, Cook County, Illinois, 60656, United States
NPI: 1629276993

CATHERINE LABELLA (RD)

Registered Dietitian
4630-4640, North Racine Avenue, Asia on Argyle, Uptown, Chicago, Lake View Township, Cook County, Illinois, 60640, United States
NPI: 1215135207