Lake Immediate Care & Clinic S C
NPI 1114208642ActiveOrganization· Internal Medicine· Island Lake, IL
Internal Medicine in Island Lake, Illinois, registered in NPPES in August 2011. The authorized official on file is Eberechukwu Ibe, M.D, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1114208642 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 29, 2011 |
| Last updated in NPPES | Oct 27, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 036107391 | IL |
| Family Medicine | 207Q00000X | 036113328 | 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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