Illinois Phlebology Associates SC
NPI 1154378040ActiveOrganization· Surgery· Orland Park, IL
Surgery in Orland Park, Illinois, registered in NPPES in May 2006. The authorized official on file is Nathan Amoruso, Sr Vp Revenue. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1154378040 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 27, 2006 |
| Last updated in NPPES | May 4, 2023 |
| Certified by provider | May 4, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Surgery Primary | 208600000X | — | IL |
| Phlebology | 202K00000X | — | IL |
| Radiology, Vascular & Interventional Radiology | 2085R0204X | — | IL |
| Surgery, Vascular Surgery | 2086S0129X | — | IL |
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) |
|---|
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