Ketamine Wellness Centers Chicago
NPI 1508406588ActiveOrganization· Anesthesiology· Naperville, IL
Anesthesiology in Naperville, Illinois, registered in NPPES in January 2020. The authorized official on file is Anita D. Jerger, Executive Assistant.
Overview
| NPI | 1508406588 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 8, 2020 |
| Last updated in NPPES | Aug 15, 2022 |
| Certified by provider | Aug 15, 2022 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Anesthesiology Primary | 207L00000X | — | — |
| Registered Nurse | 163W00000X | — | — |
| Anesthesiology, Pain Medicine | 207LP2900X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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