Unknown Individual – Psychiatry Physician, NPI 1922057512

Unknown Individual is a healthcare provider. based in Hoffman estates, Illinois. specializing in Psychiatry Physician. They hold a License No. 036-073598 (IL). The NPI Number for Unknown Individual is 1922057512

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1922057512
Phone
(847) 755-8090
Address
1786 MOON LAKE BLVD
Deactivation Date
18 March 2022
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience23
Completeness75
Years active:0State licenses:2Digital endpointsOther names

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Provider Addresses for Unknown Individual

  • Alexian Brothers Medical Plaza, 1786, Moon Lake Boulevard, Hoffman Estates, Schaumburg Township, Cook County, Illinois, 60194, United States

    SUITE 104

    HOFFMAN ESTATES, IL 601695029

    Phone: (847) 755-8090

    Fax: (847) 843-7393

    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

How do payers reference Unknown Individual?
For Unknown Individual, use NPI 1922057512 as the unique 10-digit identifier.
Can Unknown Individual still bill if the NPI is inactive?
Do not rely on inactive status alone — contact the provider for confirmation.
How would a patient describe Unknown Individual's focus?
For Unknown Individual, the primary taxonomy reads as Psychiatry Physician. Clinical services aligned with this taxonomy classification.
Where in Illinois is Unknown Individual registered?
Use Hoffman Estates, 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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