Specialty Physicians of Illinois, LLC
NPI 1124075676ActiveOrganization· Internal Medicine· Greenwood, IN
Internal Medicine in Greenwood, Indiana, registered in NPPES in May 2006. The authorized official on file is Donna Phalen, Director. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1124075676 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 30, 2006 |
| Last updated in NPPES | Feb 15, 2023 |
| Certified by provider | Feb 15, 2023 |
Specialties and licenses
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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