Carol Stream Medical PLLC
NPI 1851173330ActiveOrganization· General Practice· Carol Stream, IL
General Practice in Carol Stream, Illinois, registered in NPPES in October 2023. The authorized official on file is Chanele Smith, Manager.
Overview
| NPI | 1851173330 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Oct 18, 2023 |
| Last updated in NPPES | Aug 27, 2024 |
| Certified by provider | Aug 27, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| General Practice Primary | 208D00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 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 General Practice providers in Carol Stream
- 1194507665
- 1386463644
- 1144700105
- 1093443921
- 1558133488
- 1598302077
- 1710575444