Unknown Individual – Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist, NPI 1861779753

Unknown Individual is a healthcare provider. based in Naperville, Illinois. specializing in Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. They hold a License No. 051028342 (IL). The NPI Number for Unknown Individual is 1861779753

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1861779753
Phone
(630) 428-9171
Address
612 RAYMOND DR
Deactivation Date
31 January 2022
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

  • 612 RAYMOND DR

    NAPERVILLE, IL 605639788

    Phone: (630) 428-9171

    Fax: (630) 428-0293

    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 60563)

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Reviews

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Frequently asked questions

What identifier follows Unknown Individual across health systems?
The NPI 1861779753 uniquely identifies Unknown Individual in U.S. healthcare data.
Should I call the clinic if Unknown Individual is inactive here?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
What type of care does Unknown Individual provide?
Unknown Individual's profile centers on Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist. Clinical services aligned with this taxonomy classification.
What geographic area is tied to Unknown Individual?
Unknown Individual is associated with Naperville, Illinois in the same public data insurers reference.
What is the difference between NPI and a medical license?
An NPI is a federal identifier; a medical license is issued by a state and governs where someone may practice.

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