Unknown Individual – Specialist, NPI 1972941573

Unknown Individual is a healthcare provider. based in North chicago, Illinois. specializing in Specialist. They hold a License No. 011289338 (IL). The NPI Number for Unknown Individual is 1972941573

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1972941573
Phone
(847) 363-3689
Address
1911 SHERMAN AVE
Deactivation Date
9 December 2020
Data current as of
20 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

  • 1911 SHERMAN AVE

    UNIT 1F

    NORTH CHICAGO, IL 600642317

    Phone: (847) 363-3689

    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 60064)

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Reviews

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Frequently asked questions

What NPI should I save for Unknown Individual?
Save NPI 1972941573 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.
What kind of provider is Unknown Individual?
The page reflects Other Service Providers for Unknown Individual. Clinical services aligned with this taxonomy classification.
Where is Unknown Individual's primary listing?
We display North Chicago, Illinois because that is what the record indicates for Unknown Individual.
Is Unknown Individual a real provider?
This page reflects official NPPES data for NPI 1972941573. Always confirm identity and privileges with the practice and licensing boards.

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