Unknown Individual – Family Medicine Physician, NPI 1891769311

Unknown Individual is a healthcare provider. based in Deerfield, Illinois. specializing in Family Medicine Physician. They hold a License No. 036079383 (IL). The NPI Number for Unknown Individual is 1891769311

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1891769311
Phone
(312) 255-9444
Address
1020 MILWAUKEE AVE STE 153
Deactivation Date
17 July 2024

Contacts

Other Endpoint
www.healthworksimc.com
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience18
Completeness85
Years active:0State licenses:2Other namesUpdated within 12 months

Provider Addresses for Unknown Individual

  • 1020 MILWAUKEE AVE STE 153

    DEERFIELD, IL 600153580

    Phone: (312) 255-9444

    Fax: (312) 255-9446

    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 60015)

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Reviews

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Frequently asked questions

What is the registry number for Unknown Individual?
The registry entry for Unknown Individual shows NPI 1891769311.
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.
How should patients interpret Unknown Individual's specialty?
The extract shows Family Medicine Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Can patients visit Unknown Individual in Deerfield, Illinois?
For routing, start with Deerfield, Illinois for Unknown Individual, then verify phone and hours locally.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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