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NPI 1588613475ActiveOrganization· Physical Therapist· Mount Prospect, IL
Physical Therapist in Mount Prospect, Illinois, registered in NPPES in May 2006. The authorized official on file is Albert Pawlusiewicz, DC, Ceo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1588613475 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 8, 2006 |
| Last updated in NPPES | Jan 9, 2023 |
| Certified by provider | Jan 9, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | 070012652 | IL |
| Chiropractor, Orthopedic | 111NX0800X | 038009733 | 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) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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