Screening result
NPI 1033101092Screened 6/3/2026, 5:15:46 AM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.
EXCLUDED
Active federal exclusion in effect.
This NPI carries 0 active OIG exclusions. Do not employ or contract for federal-program work.
Reasons (8)
- • IL medical board surrender (2025-12-08)
- • IL medical board surrender (2025-12-08)
- • IL medical board probation (2025-02-06)
- • IL medical board suspension (2024-12-07)
- • IL medical board fine (2016-10-11)
- • IL medical board probation (2016-10-11)
- • IL medical board fine (2014-08-25)
- • IL medical board probation (2014-08-25)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Surrender | 2025-12-08 | — |
| IL medical | Surrender | 2025-12-08 | — |
| IL medical | Probation | 2025-02-06 | 2025-12-08 |
| IL medical | Suspension | 2024-12-07 | 2025-02-05 |
| IL medical | Fine | 2016-10-11 | — |
| IL medical | Probation | 2016-10-11 | 2024-12-07 |
| IL medical | Fine | 2014-08-25 | — |
| IL medical | Probation | 2014-08-25 | 2016-10-11 |
Financial transparency (Open Payments)
CMS Open Payments (Sunshine Act) data for 2023. Shows payments from pharmaceutical and device companies to this provider.
Total received
$380
Total records
4
Payment categories
1
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $380 | 4 |
Monitor this provider
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Source + audit trail
- NPI screened
- 1033101092
- Screen timestamp
- 6/3/2026, 5:15:46 AM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 100
- Matches found
- 8
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ProviderScore — Sanctions Screening Record
Record generated 6/3/2026, 5:15:46 AM
NPI 1033101092
EXCLUDED Active federal exclusion in effect.
Screened 6/3/2026, 5:15:46 AM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (8) | 40 states live: AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| State Medicaid exclusions | Clear | — |
| SAM.gov / GSA exclusions | Clear | — |
| OFAC SDN (Treasury) | Clear | — |
| FDA debarment | Clear | — |
Findings (8)
- IL medical board surrender (2025-12-08)
- IL medical board surrender (2025-12-08)
- IL medical board probation (2025-02-06)
- IL medical board suspension (2024-12-07)
- IL medical board fine (2016-10-11)
- IL medical board probation (2016-10-11)
- IL medical board fine (2014-08-25)
- IL medical board probation (2014-08-25)
Source + audit trail
| NPI screened | 1033101092 |
| Screen timestamp | 6/3/2026, 5:15:46 AM |
| OIG LEIE snapshot | 2026-05-08 |
| State boards covered | AK, AL, AR, AZ, CA, CO, CT, DE, FL, GA, HI, IA, IL, KS, KY, LA, MA, MD, ME, MI, MN, MO, MS, MT, NC, ND, NE, NH, NJ, NV, NY, OH, OR, PA, SC, TN, TX, WA, WV, WY |
| Risk band | EXCLUDED |
| Risk score | 100 |
| Total matches | 8 |
This record reflects the sources and snapshot dates listed above at the time of generation. Not legal advice. ProviderScore screens exclusion/sanction lists, not primary-source license verification.
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