Evaskus and Herzog, Ltd
NPI 1316044837ActiveOrganization· Oral & Maxillofacial Surgery· Chicago, IL
Oral & Maxillofacial Surgery in Chicago, Illinois, registered in NPPES in September 2006. The authorized official on file is Jennifer Pietri, Insurance Coordinator. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1316044837 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 19, 2006 |
| Last updated in NPPES | Dec 9, 2019 |
| Certified by provider | Dec 9, 2019 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Oral & Maxillofacial Surgery Primary | 204E00000X | — | — |
| Dentist, Oral and Maxillofacial Surgery | 1223S0112X | 060003037 | 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) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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