Vaccine Clinics SC
NPI 1619756889ActiveOrganization· General Practice· Lincolnwood, IL
General Practice in Lincolnwood, Illinois, registered in NPPES in September 2023. The authorized official on file is Judah Kanowitz, Authorized Official. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1619756889 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 26, 2023 |
| Last updated in NPPES | Sep 26, 2023 |
| Certified by provider | Sep 26, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
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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