Medical Resource Center Ltd
NPI 1770507295ActiveOrganization· General Practice· Loves Park, IL
General Practice in Loves Park, Illinois, registered in NPPES in July 2006. The authorized official on file is Steven J. Disanti, D.O., Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770507295 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jul 27, 2006 |
| Last updated in NPPES | Feb 13, 2024 |
| Certified by provider | Feb 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | 036067911 | IL |
| Family Medicine | 207Q00000X | 036096167 | IL |
| General Practice | 208D00000X | 036066772 | 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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