Cordial Medical Center, S.C.
NPI 1093771263ActiveOrganization· Family Medicine· Mundelein, IL
Family Medicine in Mundelein, Illinois, registered in NPPES in April 2006. The authorized official on file is Mikhail Khodarkovskiy, M.D., President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1093771263 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 25, 2006 |
| Last updated in NPPES | Aug 13, 2023 |
| Certified by provider | Aug 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036-107538 | IL |
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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