Integra Medical Doctors Inc
NPI 1700189677ActiveOrganization· Specialist· Hoffman Estates, IL
Specialist in Hoffman Estates, Illinois, registered in NPPES in December 2010. The authorized official on file is Glenn Manguerra, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1700189677 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 14, 2010 |
| Last updated in NPPES | Apr 21, 2015 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Specialist Primary | 174400000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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