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Statewide Agency

NPI 1881054757ActiveOrganization· Supports Brokerage· Glenview, IL

Supports Brokerage in Glenview, Illinois, registered in NPPES in March 2016. The authorized official on file is Hak I. Jin, President.

Overview

NPI1881054757
StatusActive
Entity typeOrganization
NPI issuedMar 4, 2016
Last updated in NPPESMar 4, 2016

Specialties and licenses

TaxonomyCodeLicenseState
Supports Brokerage Primary251X00000X100287909IL

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Nov 10, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 11, 2026No match—
New York OMIG · Nov 11, 2026No match—
Ohio Medicaid · Nov 11, 2026No match—
Pennsylvania Medicheck · Nov 11, 2026No match—
Washington HCA · Nov 11, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years