Family Care of Lake County S.C.
NPI 1861485658ActiveOrganization· Family Medicine· Lake Villa, IL
Family Medicine in Lake Villa, Illinois, registered in NPPES in August 2005. The authorized official on file is Eugene Pomeranets, MD, Owner/Md. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1861485658 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 26, 2005 |
| Last updated in NPPES | Dec 23, 2021 |
| Certified by provider | Dec 23, 2021 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
| Clinic/Center, Primary Care | 261QP2300X | — | — |
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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