Family Medicine Specialists of Round Lake Incorporated S C
NPI 1740515253ActiveOrganization· Family Medicine· Round Lake Beach, IL
Family Medicine in Round Lake Beach, Illinois, registered in NPPES in October 2009. The authorized official on file is Jason Bellucci, Cfo. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1740515253 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 16, 2009 |
| Last updated in NPPES | Oct 9, 2024 |
| Certified by provider | Oct 9, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036083207 | 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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