Illinois Adult Healthcare LLC
NPI 1407219504ActiveOrganization· Internal Medicine, Geriatric Medicine· Elk Grove Village, IL
Internal Medicine, Geriatric Medicine in Elk Grove Village, Illinois, registered in NPPES in April 2016. The authorized official on file is Ilya I. Fishman, MD, Owner/Physician. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1407219504 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Apr 5, 2016 |
| Last updated in NPPES | Apr 5, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | 036118688 | IL |
| Internal Medicine | 207R00000X | 036118688 | 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 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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