Unknown Individual – Family Nurse Practitioner, NPI 1811262041

Unknown Individual is a healthcare provider. based in Joliet, Illinois. specializing in Family Nurse Practitioner. They hold a License No. 209.003914 (IL). The NPI Number for Unknown Individual is 1811262041

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811262041
Phone
(815) 774-9037
Address
311 N OTTAWA ST
Deactivation Date
24 January 2024
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

  • 311 N OTTAWA ST

    JOLIET, IL 604324048

    Phone: (815) 774-9037

    Fax: (815) 774-9234

    Type: Location

  • 1644 DERBY DR

    BATAVIA, IL 605108646

    Phone: (630) 406-9691

    Fax: (630) 406-9199

    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.

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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 60432)

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Reviews

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Frequently asked questions

Does Unknown Individual share an NPI with anyone else?
NPI numbers are unique to each provider or organization — Unknown Individual uses 1811262041.
What dates should I check for Unknown Individual's activity?
We display what the registry publishes: Unknown Individual appears inactive there.
What is Unknown Individual's primary classification?
Family Nurse Practitioner is the headline specialty for Unknown Individual here. Clinical services aligned with this taxonomy classification.
What address line appears for Unknown Individual?
Unknown Individual's geographic hint is Joliet, Illinois in our summary view.
Why does Unknown Individual have multiple addresses?
2 practice locations appear in the available data. Multiple addresses are common for hospital privileges, telehealth, or multi-site groups.

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