Stillwater Health PLLC
NPI 1891642179ActiveOrganization· Family Medicine, Addiction Medicine· Chicago, IL
Family Medicine, Addiction Medicine in Chicago, Illinois, registered in NPPES in March 2026. The authorized official on file is Carolle Derradji, PMHNP-BC, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1891642179 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 14, 2026 |
| Last updated in NPPES | Jun 16, 2026 |
| Certified by provider | Jun 16, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine, Addiction Medicine Primary | 207QA0401X | — | — |
| Nurse Practitioner, Psych/Mental Health | 363LP0808X | — | — |
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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