Paragon Clinical LLC
NPI 1114139946ActiveOrganization· Nurse Practitioner· Burr Ridge, IL
Nurse Practitioner in Burr Ridge, Illinois, registered in NPPES in May 2007. The authorized official on file is Marybeth E. Sutkowski, M.D. Ceo/Owner. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1114139946 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 4, 2007 |
| Last updated in NPPES | Apr 3, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner Primary | 363L00000X | — | — |
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); Part B Supplier - Clinic/Group Practice (IN); Part B Supplier - Clinic/Group Practice (MI) |
|---|
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