Phc of Buffalo Grove Diagnostic Services
NPI 1881975266ActiveOrganization· Physiological Laboratory· Buffalo Grove, IL
Physiological Laboratory in Buffalo Grove, Illinois, registered in NPPES in August 2011. The authorized official on file is Jack A. Maggiore, PHD, Director.
Overview
| NPI | 1881975266 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Aug 30, 2011 |
| Last updated in NPPES | Aug 31, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physiological Laboratory Primary | 293D00000X | — | — |
| Psychologist, Health Service | 103TH0100X | — | — |
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 |
|---|
Other Physiological Laboratory providers in Buffalo Grove
- 1902896277
- 1033866421