Unknown Individual – Licensed Practical Nurse, NPI 1962524496

Unknown Individual is a healthcare provider. based in Galva, Illinois. specializing in Licensed Practical Nurse. They hold a License No. 043055164 (IL). The NPI Number for Unknown Individual is 1962524496

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1962524496
Phone
(309) 932-2914
Address
505 SW 5TH AVE
Deactivation Date
13 February 2025
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

Provider Addresses for Unknown Individual

  • 505 SW 5TH AVE

    GALVA, IL 614341935

    Phone: (309) 932-2914

    Type: Mailing

  • 1235 W CARL SANDBURG DR

    WILLOWA WAY APARTMENTS

    GALESBURG, IL 614017014

    Phone: (309) 344-8090

    Type: Location

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 61434)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1962524496 if you need a stable reference for Unknown Individual.
Should I trust care from Unknown Individual if status is inactive?
An inactive NPI does not by itself prove someone stopped practicing — check other sources.
Can you summarize Unknown Individual's specialty in plain language?
Clinically, the directory lists Unknown Individual with Licensed Practical Nurse. Clinical services aligned with this taxonomy classification.
Does Unknown Individual practice in Illinois?
You will see Galva, Illinois on file for Unknown Individual alongside any extra practice locations.
Does Medicare enrollment show here?
Medicare enrollment screens are separate from the basic NPI extract shown here.

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