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NPI 1417655465ActiveOrganization· Internal Medicine· Naperville, IL

Internal Medicine in Naperville, Illinois, registered in NPPES in February 2023. The authorized official on file is Cheryl Lee, Director Contracting. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.

Overview

NPI	1417655465
Status	Active
Entity type	Organization
NPI issued	Feb 20, 2023
Last updated in NPPES	May 27, 2026
Certified by provider	May 27, 2026

Specialties and licenses

Taxonomy	Code	License	State
Internal Medicine Primary	207R00000X	—	—
Physical Medicine & Rehabilitation	208100000X	—	—
Hospitalist	208M00000X	—	—

About license numbers in NPPES

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 (CA); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (RI); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (SD); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WI)

Enrollment (PECOS)

Enrolled Part B Supplier - Clinic/Group Practice (CA); Part B Supplier - Clinic/Group Practice (DC); Part B Supplier - Clinic/Group Practice (DE); Part B Supplier - Clinic/Group Practice (FL); Part B Supplier - Clinic/Group Practice (IL); Part B Supplier - Clinic/Group Practice (MD); Part B Supplier - Clinic/Group Practice (NY); Part B Supplier - Clinic/Group Practice (RI); Part B Supplier - Clinic/Group Practice (SC); Part B Supplier - Clinic/Group Practice (SD); Part B Supplier - Clinic/Group Practice (TN); Part B Supplier - Clinic/Group Practice (TX); Part B Supplier - Clinic/Group Practice (WI)

Medicare sources and data years

Other Internal Medicine providers in Naperville

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Dr Carol R Weinberg MD SC
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Edward Health Ventures
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Edward Health Ventures
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1760749535
Edward Health Ventures
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Edward Health Ventures
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Edward Health Ventures
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1871977892
Erickson Health Medical Group of Illinois PC
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Firooz Emami MD, SC
Naperville, IL · Organization
1902947781
Geriatric Professional Services SC
Naperville, IL · Organization
1811266315

All Internal Medicine providers in Illinois →