Coralis Health, LLC
NPI 1891574927ActiveOrganization· Pediatrics, Developmental - Behavioral Pediatrics· Clarendon Hills, IL
Pediatrics, Developmental - Behavioral Pediatrics in Clarendon Hills, Illinois, registered in NPPES in September 2023. The authorized official on file is Angelica Robles, MD, Chief Medical Officer. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891574927 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 27, 2023 |
| Last updated in NPPES | Nov 13, 2024 |
| Certified by provider | Nov 13, 2024 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics Primary | 2080P0006X | — | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — | — |
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 (NC) |
|---|
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