Gottlieb Community Health Services Corporation
NPI 1013415603ActiveOrganization· General Practice· Berwyn, IL
General Practice in Berwyn, Illinois, registered in NPPES in January 2018. The authorized official on file is Adenrele Kolawole, Director Billing Operations. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013415603 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 29, 2018 |
| Last updated in NPPES | Jun 16, 2025 |
| Certified by provider | Jun 16, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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