Dr 247 SC
NPI 1922669670ActiveOrganization· Family Medicine· Buffalo Grove, IL
Family Medicine in Buffalo Grove, Illinois, registered in NPPES in June 2019. The authorized official on file is Larissa Granovski, PHD, Manager. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1922669670 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jun 24, 2019 |
| Last updated in NPPES | Feb 18, 2020 |
| Certified by provider | Feb 18, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | — | — |
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) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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