Unknown Individual – Infectious Disease Physician, NPI 1497736763

Unknown Individual is a healthcare provider. based in Mishawaka, Indiana. specializing in Infectious Disease Physician. The NPI Number for Unknown Individual is 1497736763

Main info

Organization
Inactive
Name
Unknown Individual
NPI
1497736763
Phone
(574) 273-6546
Address
PO BOX 308
Deactivation Date
9 December 2021
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

  • PO BOX 308

    MISHAWAKA, IN 465460308

    Phone: (574) 273-6546

    Fax: (574) 273-5295

    Type: Mailing

  • 1423, Chicago Road, Indian Hill, Chicago Heights, Bloom Township, Cook County, Illinois, 60411, United States

    CHICAGO HEIGHTS, IL 604113400

    Phone: (708) 756-1000

    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.

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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.

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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 46546)

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Reviews

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Frequently asked questions

What is the standard ID for Unknown Individual in the U.S.?
In the U.S., Unknown Individual is identified by NPI 1497736763.
What should I verify if Unknown Individual is listed inactive?
If Unknown Individual looks inactive here, cross-check state licensing and the clinic website.
How should patients interpret Unknown Individual's specialty?
The extract shows Infectious Disease Physician for Unknown Individual. Clinical services aligned with this taxonomy classification.
Is Unknown Individual tied to Mishawaka, Indiana?
If you are local to Mishawaka, Indiana, Unknown Individual may be relevant to your search.
Why is information missing for Unknown Individual?
Providers choose how much contact data to publish. Missing fields do not mean the profile is fake.

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