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NPI 1225684640ActiveOrganization· Family Medicine· Berwyn, IL
Family Medicine in Berwyn, Illinois, registered in NPPES in August 2019. The authorized official on file is Manohar Jethani, MD, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1225684640 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 12, 2019 |
| Last updated in NPPES | Aug 12, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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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