Screening result
NPI 1184601577Screened 6/3/2026, 5:06:56 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 (7)
- • IL medical board probation (2016-04-17)
- • IL medical board suspension (2016-01-17)
- • IL medical board fine (2015-12-28)
- • IL medical board probation (2013-12-18)
- • IL medical board suspension (2013-11-17)
- • IL medical board fine (2013-10-28)
- • IL medical board reprimand (2005-06-20)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Probation | 2016-04-17 | 2022-04-01 |
| IL medical | Suspension | 2016-01-17 | 2016-04-16 |
| IL medical | Fine | 2015-12-28 | — |
| IL medical | Probation | 2013-12-18 | 2016-01-17 |
| IL medical | Suspension | 2013-11-17 | 2013-12-17 |
| IL medical | Fine | 2013-10-28 | — |
| IL medical | Reprimand | 2005-06-20 | — |
Financial transparency (Open Payments)
CMS Open Payments (Sunshine Act) data for 2023. Shows payments from pharmaceutical and device companies to this provider.
Total received
$1,175
Total records
69
Payment categories
1
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $1,175 | 69 |
Monitor this provider
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Source + audit trail
- NPI screened
- 1184601577
- Screen timestamp
- 6/3/2026, 5:06:56 AM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 110
- Matches found
- 7
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ProviderScore — Sanctions Screening Record
Record generated 6/3/2026, 5:06:56 AM
NPI 1184601577
EXCLUDED Active federal exclusion in effect.
Screened 6/3/2026, 5:06:56 AM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (7) | 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 (7)
- IL medical board probation (2016-04-17)
- IL medical board suspension (2016-01-17)
- IL medical board fine (2015-12-28)
- IL medical board probation (2013-12-18)
- IL medical board suspension (2013-11-17)
- IL medical board fine (2013-10-28)
- IL medical board reprimand (2005-06-20)
Source + audit trail
| NPI screened | 1184601577 |
| Screen timestamp | 6/3/2026, 5:06:56 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 | 110 |
| Total matches | 7 |
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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