Simply Wounds and Lymphatics, PLLC
NPI 1073464301ActiveOrganization· Nurse Practitioner· Evergreen Park, IL
Nurse Practitioner in Evergreen Park, Illinois, registered in NPPES in February 2026. The authorized official on file is Summer M. Jackson, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1073464301 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 4, 2026 |
| Last updated in NPPES | Feb 4, 2026 |
| Certified by provider | Feb 4, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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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