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Midwest Diagnostic Management, LLC

NPI 1003933920ActiveOrganization· Exclusive Provider Organization· Mokena, IL

Exclusive Provider Organization in Mokena, Illinois, registered in NPPES in March 2007. The authorized official on file is Jon Knipper, Chief Operating Officer.

Overview

NPI1003933920
StatusActive
Entity typeOrganization
NPI issuedMar 24, 2007
Last updated in NPPESDec 10, 2008

Specialties and licenses

TaxonomyCodeLicenseState
Exclusive Provider Organization Primary302F00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Exclusive Provider Organization providers in Mokena

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