Unknown Individual – Gastroenterology Physician, NPI 1811993504

Unknown Individual is a healthcare provider. based in Park ridge, Illinois. specializing in Gastroenterology Physician. The NPI Number for Unknown Individual is 1811993504

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1811993504
Phone
(847) 696-3176
Address
950 N NORTHWEST HWY
Deactivation Date
3 July 2024
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

  • 950, North Northwest Highway, Park Ridge, Cook County, Illinois, 60068, United States

    PARK RIDGE, IL 600682301

    Phone: (847) 696-3176

    Fax: (847) 696-2678

    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.

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)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1811993504 as the unique 10-digit identifier.
Is inactive the same as retired for Unknown Individual?
Inactive registry status can reflect deactivation, consolidation, or data lag.
What area of care is associated with Unknown Individual?
Unknown Individual's record emphasizes Gastroenterology Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual associated with Park Ridge?
Public fields place Unknown Individual around Park Ridge, Illinois. Always confirm the exact site before visiting.
When was this NPI issued?
Enumeration for Unknown Individual is noted as not shown in this record where the registry provides it.

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