Unknown Individual – Family Medicine Physician, NPI 1851341150

Unknown Individual is a healthcare provider. based in La grange, Illinois. specializing in Family Medicine Physician. They hold a License No. 36036107 (IL). The NPI Number for Unknown Individual is 1851341150

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1851341150
Phone
(708) 352-7470
Address
1325 MEMORIAL DR
Deactivation Date
5 June 2025
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

Loading map...

Provider Addresses for Unknown Individual

  • 1325, Community Memorial Drive, La Grange, Lyons Township, Cook County, Illinois, 60525, United States

    STE 214

    LA GRANGE, IL 605252659

    Phone: (708) 352-7470

    Fax: (708) 352-3867

    Type: Mailing

  • 1323, Community Memorial Drive, La Grange, Lyons Township, Cook County, Illinois, 60525, United States

    SUITE 214

    LA GRANGE, IL 605252601

    Phone: (708) 352-7470

    Fax: (708) 352-3867

    Type: Location

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 60525)

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

Does Unknown Individual have a public NPI I can cite?
Public records show Unknown Individual under NPI 1851341150.
What does inactive NPI status mean for Unknown Individual?
Inactive status means the NPI record is not marked active in the public file — verify before making care decisions.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Family Medicine Physician. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to La Grange, Illinois?
If you are local to La Grange, 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.

Similar Providers

DR. IRAM SHAIKH-ABBASI (M.D.)

Family Medicine Physician
1415 W 47th St
NPI: 1093782146

GUY AGOSTINO (M.D.)

Family Medicine Physician
1860 PAYSPHERE CIR
NPI: 1992769822

WILLIAM H GROS (M.D.)

Family Medicine Physician
1860 PAYSPHERE CIR
NPI: 1316902919

DR. DANIEL HUNTER SMITH (MD)

Family Medicine Physician
1325, Community Memorial Drive, La Grange, Lyons Township, Cook County, Illinois, 60525, United States
NPI: 1619925963

Unknown Individual

Family Medicine Physician
Bolingbrook Post Office, 105, Canterbury Lane, Bolingbrook, Will County, Illinois, 60440, United States
NPI: 1740239045

DR. LEO KOENIG (MD)

Family Medicine Physician
1325, Community Memorial Drive, La Grange, Lyons Township, Cook County, Illinois, 60525, United States
NPI: 1013967322

DR. DAPHNE TESSALEE (MD)

Family Medicine Physician
1325, Community Memorial Drive, La Grange, Lyons Township, Cook County, Illinois, 60525, United States
NPI: 1124078357

DR. IRENE THOMAS-THEVATHERIL (MD)

Family Medicine Physician
PO BOX 698
NPI: 1336190529

DR. JENNIFER SWOYER (DO)

Family Medicine Physician
5220 EAST AVE
NPI: 1942251749