Unknown Individual – Dermatology Physician, NPI 1902870876

Unknown Individual is a healthcare provider. based in Quincy, Illinois. specializing in Dermatology Physician. The NPI Number for Unknown Individual is 1902870876

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1902870876
Phone
(217) 228-0090
Address
903 VERMONT STREET
Deactivation Date
1 March 2023
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

  • 903, Vermont Street, Quincy, Adams County, Illinois, 62301, United States

    QUINCY, IL 62301

    Phone: (217) 228-0090

    Fax: (217) 228-9464

    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.

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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 62301)

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Reviews

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Frequently asked questions

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1902870876 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 Dermatology Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Quincy, Illinois as the headline location for Unknown Individual here.
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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