Physician Management Services of Illinois, LLC
NPI 1962935924ActiveOrganization· Family Medicine· Litchfield, IL
Family Medicine in Litchfield, Illinois, registered in NPPES in April 2017, part of Vaxcare Corporation. The authorized official on file is Brett Kenefick, President.
Overview
| NPI | 1962935924 |
|---|---|
| Status | Active |
| Entity type | Organization (subpart) |
| Parent organization | Vaxcare Corporation |
| NPI issued | Apr 6, 2017 |
| Last updated in NPPES | May 21, 2026 |
| Certified by provider | May 21, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Family Medicine Primary | 207Q00000X | 036.06653 | IL |
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) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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