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NPI 1447179981ActiveOrganization· Specialist/Technologist, Other· Tinley Park, IL
Specialist/Technologist, Other in Tinley Park, Illinois, registered in NPPES in July 2026. The authorized official on file is Latosha C. Malone, LE, Owner/Electrologist.
Overview
| NPI | 1447179981 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 10, 2026 |
| Last updated in NPPES | Aug 6, 2026 |
| Certified by provider | Aug 6, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist/Technologist, Other Primary | 246Z00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Specialist/Technologist, Other providers in Tinley Park
- 1710954151
- 1356534556