Jep Healthcare Provider, LLC
NPI 1730582990ActiveOrganization· Nurse Practitioner, Family· Mundelein, IL
Nurse Practitioner, Family in Mundelein, Illinois, registered in NPPES in October 2014. The authorized official on file is Joseph Escobar, APN, President. Enrolled in Medicare as part b supplier - clinic/group practice and part b supplier - clinic/group practice.
Overview
| NPI | 1730582990 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 2, 2014 |
| Last updated in NPPES | Oct 2, 2014 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209009807 | IL |
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); Part B Supplier - Clinic/Group Practice (WI) |
|---|
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