Merrionette Park Physicians Group SC
NPI 1437186954ActiveOrganization· Internal Medicine· Chicago Ridge, IL
Internal Medicine in Chicago Ridge, Illinois, registered in NPPES in June 2006. The authorized official on file is Jerry R. Coltro, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1437186954 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 28, 2006 |
| Last updated in NPPES | Feb 18, 2026 |
| Certified by provider | Feb 18, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 042617755 | — |
| Internal Medicine, Rheumatology | 207RR0500X | 042617755 | 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 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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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