Unknown Individual – Clinical Social Worker, NPI 1942422639

Unknown Individual is a healthcare provider. based in Wheaton, Illinois. specializing in Clinical Social Worker. They hold a License No. 1490055640 (IL). The NPI Number for Unknown Individual is 1942422639

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1942422639
Phone
(630) 665-2771
Address
2100 MANCHESTER RD
Deactivation Date
26 June 2024
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

  • Theisen & Roche, Ltd., 2100, Manchester Road, Wheaton, DuPage County, Illinois, 60187, United States

    SUITE 945

    WHEATON, IL 601874579

    Phone: (630) 665-2771

    Type: Location

  • 3N671 WOODLAND AVE

    WEST CHICAGO, IL 601851131

    Phone: (630) 665-2771

    Type: Mailing

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 60187)

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Reviews

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Frequently asked questions

How is Unknown Individual identified in CMS data?
CMS-hosted NPPES data lists Unknown Individual with NPI 1942422639.
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 Clinical Social Worker. Clinical services aligned with this taxonomy classification.
Where should I expect Unknown Individual on a map?
Expect Wheaton, Illinois as a primary anchor for Unknown Individual unless the record lists multiple sites.
What does 'Individual Provider' mean on this profile?
Entity type tells you whether the number belongs to a person or an organization.

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