Lake County Primary Care S.C.
NPI 1245761295ActiveOrganization· Internal Medicine· Gurnee, IL
Internal Medicine in Gurnee, Illinois, registered in NPPES in March 2017. The authorized official on file is Jason Bellucci, Office Administrator.
Overview
| NPI | 1245761295 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2017 |
| Last updated in NPPES | Apr 24, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | — | IL |
| Family Medicine | 207Q00000X | — | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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