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Ellen M Hennecke Dosc

NPI 1780885657ActiveOrganization· Family Medicine· Evergreen Park, IL

Family Medicine in Evergreen Park, Illinois, registered in NPPES in May 2007. The authorized official on file is Kim Wylie, Office Manager.

Overview

NPI1780885657
StatusActive
Entity typeOrganization
NPI issuedMay 30, 2007
Last updated in NPPESAug 22, 2020

Specialties and licenses

TaxonomyCodeLicenseState
Family Medicine Primary207Q00000X—IL

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 Family Medicine providers in Evergreen Park

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