Progressive Medical Center SC
NPI 1851464549ActiveOrganization· Internal Medicine· Addison, IL
Internal Medicine in Addison, Illinois, registered in NPPES in November 2006. The authorized official on file is Gabriela Henriquez, Office Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1851464549 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Nov 17, 2006 |
| Last updated in NPPES | Aug 2, 2024 |
| Certified by provider | Aug 2, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Internal Medicine Primary | 207R00000X | 036087152 | IL |
| Family Medicine | 207Q00000X | 036103673 | IL |
| Pediatrics | 208000000X | 036078267 | 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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