Unknown Individual – Pediatrics Physician, NPI 1811993306

Unknown Individual is a healthcare provider. based in Silvis, Illinois. specializing in Pediatrics Physician. They hold a License No. 036-087948 (IL). The NPI Number for Unknown Individual is 1811993306

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811993306
Phone
(309) 281-2350
Address
1504 10TH ST
Deactivation Date
23 June 2022
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

  • 1504, 10th Street, Silvis, Rock Island County, Illinois, 61282, United States

    SILVIS, IL 612821899

    Phone: (309) 281-2350

    Fax: (309) 281-2359

    Type: Location

  • Genesis Health Group, Bettendorf OB/GYN, 865, Lincoln Road, Bettendorf, Scott County, Iowa, 52722, United States

    STE L10

    BETTENDORF, IA 527224159

    Phone: (563) 355-9191

    Fax: (563) 355-3419

    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.

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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 61282)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1811993306.
Why is Unknown Individual marked inactive in the NPI directory?
The public NPI listing for Unknown Individual is not currently active; confirm directly with the practice or licensing boards.
What is Unknown Individual's specialty?
The listing groups Unknown Individual with Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual based?
Unknown Individual is tied to Silvis, Illinois in the data we show; additional addresses may exist on the full record.
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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