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Premier Vascular, LLC

NPI 1366890782ActiveOrganization· Internal Medicine, Interventional Cardiology· Merrionette Park, IL

Internal Medicine, Interventional Cardiology in Merrionette Park, Illinois, registered in NPPES in May 2016. The authorized official on file is Mark Berlin, Coo. Enrolled in Medicare as part b supplier - clinic/group practice.

Overview

NPI1366890782
StatusActive
Entity typeOrganization
NPI issuedMay 26, 2016
Last updated in NPPESOct 25, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Internal Medicine, Interventional Cardiology Primary207RI0011X——
Internal Medicine, Cardiovascular Disease207RC0000X——
Internal Medicine, Clinical Cardiac Electrophysiology207RC0001X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Enrolled Part B Supplier - Clinic/Group Practice (IL)

Medicare sources and data years

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