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Tanja Lutman

NPI 1023425915ActiveIndividual· Skilled Nursing Facility· Bloomington, IL

Skilled Nursing Facility in Bloomington, Illinois, licensed in IL, with an NPI issued in July 2014.

Overview

NPI1023425915
StatusActive
Entity typeIndividual
Sole proprietorYes
NPI issuedJul 13, 2014
Last updated in NPPESJul 13, 2014

Specialties and licenses

TaxonomyCodeLicenseState
Skilled Nursing Facility Primary314000000X056004223IL

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

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