Gundersen Lutheran Medical Center Inc
NPI 1144947805ActiveOrganization· Clinic/Center· Libertyville, IL
Clinic/Center in Libertyville, Illinois, registered in NPPES in October 2022, part of Gundersen Lutheran Medical Center Inc. The authorized official on file is Kari B. Adank, Vp. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1144947805 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Gundersen Lutheran Medical Center Inc |
| NPI issued | Oct 24, 2022 |
| Last updated in NPPES | Oct 24, 2022 |
| Certified by provider | Oct 24, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Clinic/Center Primary | 261Q00000X | — | — |
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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