590 Dental Care LLC
NPI 1326400078ActiveOrganization· Preferred Provider Organization· Bourbonnais, IL
Preferred Provider Organization in Bourbonnais, Illinois, registered in NPPES in March 2016. The authorized official on file is Alan J. Acierno, DDS, Manager.
Overview
| NPI | 1326400078 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 22, 2016 |
| Last updated in NPPES | Mar 28, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Preferred Provider Organization Primary | 305R00000X | 019018431 | IL |
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 |
|---|
Other Preferred Provider Organization providers in Bourbonnais
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