Uptown Dui Services
NPI 1124579073ActiveOrganization· Exclusive Provider Organization· Chicago, IL
Exclusive Provider Organization in Chicago, Illinois, registered in NPPES in October 2016. The authorized official on file is Paul Fitzgerald Jordan, CADC, MISA I, DUI, Dui / Treatment Provider.
Overview
| NPI | 1124579073 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2016 |
| Last updated in NPPES | Oct 16, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 302F00000X | 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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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All 17 Exclusive Provider Organization providers in Chicago · All Exclusive Provider Organization providers in Illinois