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NPI 1669657995ActiveOrganization· Preferred Provider Organization· Willowbrook, IL

Preferred Provider Organization in Willowbrook, Illinois, registered in NPPES in January 2008. The authorized official on file is Terry James Smith, D.C., Owner.

Overview

NPI1669657995
StatusActive
Entity typeOrganization
NPI issuedJan 6, 2008
Last updated in NPPESMar 28, 2019

Specialties and licenses

TaxonomyCodeLicenseState
Preferred Provider Organization Primary305R00000X038-009491IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Preferred Provider Organization providers in Willowbrook

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