Sunova Healthcare S.C.
NPI 1083072839ActiveOrganization· Psychiatry & Neurology, Psychiatry· Park Ridge, IL
Psychiatry & Neurology, Psychiatry in Park Ridge, Illinois, registered in NPPES in February 2016. The authorized official on file is Julie Kopacz, Practice Managaer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1083072839 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Feb 8, 2016 |
| Last updated in NPPES | Mar 14, 2023 |
| Certified by provider | Mar 14, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychiatry & Neurology, Psychiatry Primary | 2084P0800X | 036100094 | 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 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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