Medical Associates of Illinois SC
NPI 1164868618ActiveOrganization· Internal Medicine· Elmwood Park, IL
Internal Medicine in Elmwood Park, Illinois, registered in NPPES in May 2013. The authorized official on file is Frederick Marvin Tiesenga, M.D., President.
Overview
| NPI | 1164868618 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2013 |
| Last updated in NPPES | Feb 6, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | — |
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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