Pentom Health Services LLC
NPI 1366125536ActiveOrganization· Nurse Practitioner, Family· Downers Grove, IL
Nurse Practitioner, Family in Downers Grove, Illinois, registered in NPPES in August 2023. The authorized official on file is Marcia Radja, FNP, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1366125536 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 14, 2023 |
| Last updated in NPPES | Aug 14, 2023 |
| Certified by provider | Aug 13, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | — | — |
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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