Unknown Individual – Pediatrics Physician, NPI 1972591188

Unknown Individual is a healthcare provider. based in Joliet, Illinois. specializing in Pediatrics Physician. The NPI Number for Unknown Individual is 1972591188

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972591188
Phone
(815) 725-0007
Address
301 N SPRINGFIELD AVE
Deactivation Date
26 June 2025
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

  • Springfield Avenue, Joliet, Will County, Illinois, 60435, United States

    JOLIET, IL 604356590

    Phone: (815) 725-0007

    Fax: (815) 725-4579

    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 60435)

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Reviews

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Frequently asked questions

How do I look up Unknown Individual by NPI?
Use NPI 1972591188 when you need to reference Unknown Individual in forms, claims, or directories.
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 Pediatrics Physician. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display Joliet, Illinois because that is what the record indicates for Unknown Individual.
What if Joliet, Illinois seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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