Endoscopy Center of the North Shore, LLC
NPI 1013487388ActiveOrganization· Internal Medicine, Gastroenterology· Evanston, IL
Internal Medicine, Gastroenterology in Evanston, Illinois, registered in NPPES in November 2018. The authorized official on file is Vlad Halai, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1013487388 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 29, 2018 |
| Last updated in NPPES | Apr 10, 2023 |
| Certified by provider | Apr 10, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Gastroenterology Primary | 207RG0100X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 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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