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NPI 1811998438ActiveOrganization· Internal Medicine, Geriatric Medicine· Chicago, IL
Internal Medicine, Geriatric Medicine in Chicago, Illinois, registered in NPPES in August 2005. The authorized official on file is Michael Fessenden, Chief Medical Officer.
Overview
| NPI | 1811998438 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 4, 2005 |
| Last updated in NPPES | Sep 28, 2020 |
| Certified by provider | Sep 28, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine, Geriatric Medicine Primary | 207RG0300X | — | — |
| Podiatrist | 213E00000X | — | — |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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