Unknown Individual – Ophthalmology Physician, NPI 1902831290

Unknown Individual is a healthcare provider. based in Hoffman estates, Illinois. specializing in Ophthalmology Physician. They hold a License No. 036040467 (IL). The NPI Number for Unknown Individual is 1902831290

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902831290
Phone
(847) 882-8680
Address
990 GRAND CANYON PKWY
Deactivation Date
11 January 2023
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

  • 990, Grand Canyon Parkway, Hoffman Estates, Schaumburg Township, Cook County, Illinois, 60194, United States

    STE LL14

    HOFFMAN ESTATES, IL 601691762

    Phone: (847) 882-8680

    Fax: (847) 882-8752

    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 60169)

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Reviews

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Frequently asked questions

Can I verify Unknown Individual with an NPI only?
You can start verification with NPI 1902831290 for Unknown Individual, then check state licensing separately.
Is Unknown Individual's NPI deactivated?
The extract indicates Unknown Individual is not in an active NPI state.
What is Unknown Individual best known for clinically?
Directory data describes Unknown Individual with Ophthalmology Physician. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Hoffman Estates, Illinois as a primary anchor for Unknown Individual unless the record lists multiple sites.
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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