Donte Medical Corporation
NPI 1063514065ActiveOrganization· Internal Medicine· Oak Lawn, IL
Internal Medicine in Oak Lawn, Illinois, registered in NPPES in September 2006. The authorized official on file is Ronald Eric Sam, D.O., President/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1063514065 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 1, 2006 |
| Last updated in NPPES | Dec 12, 2025 |
| Certified by provider | Dec 12, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 036094623 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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