Grace Medical Center, SC
NPI 1457405300ActiveOrganization· Exclusive Provider Organization· Lake In The Hills, IL
Exclusive Provider Organization in Lake In The Hills, Illinois, registered in NPPES in January 2007. The authorized official on file is Chung S. Rim, M.D., Provider.
Overview
| NPI | 1457405300 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 22, 2007 |
| Last updated in NPPES | Nov 17, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Exclusive Provider Organization Primary | 302F00000X | 036083588 | IL |
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 |
|---|