Medulla Diagnostic Services PLLC
NPI 1811765779ActiveOrganization· Chiropractor, Radiology· Oak Brook, IL
Chiropractor, Radiology in Oak Brook, Illinois, registered in NPPES in December 2023. The authorized official on file is Stuart Bernsen, Ceo.
Overview
| NPI | 1811765779 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Dec 19, 2023 |
| Last updated in NPPES | Dec 19, 2023 |
| Certified by provider | Dec 19, 2023 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Chiropractor, Radiology Primary | 111NR0200X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
Other Chiropractor, Radiology providers in Oak Brook
- 1831433481