Screening result
NPI 1184626673Screened 9/1/2026, 2:58:56 PM against OIG LEIE (snapshot 2026-08-31) + 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 probation (2016-11-27)
- • IL medical board suspension (2016-10-27)
- • IL medical board suspension (2016-05-27)
- • IL medical board suspension (2016-05-27)
- • IL medical board suspension (2016-05-27)
- • IL medical board suspension (2016-05-27)
- • IL medical board suspension (2016-05-27)
- • IL medical board probation (2016-02-27)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Probation | 2016-11-27 | 2018-04-23 |
| IL medical | Suspension | 2016-10-27 | 2018-04-23 |
| IL medical | Suspension | 2016-05-27 | 2016-11-26 |
| IL medical | Temporary Suspension | 2016-05-27 | 2016-10-27 |
| IL medical | Suspension | 2016-05-27 | 2016-11-26 |
| IL medical | Temporary Suspension | 2016-05-27 | 2016-10-27 |
| IL medical | Temporary Suspension | 2016-05-27 | 2016-10-27 |
| IL medical | Probation | 2016-02-27 | 2020-04-20 |
Financial transparency (Open Payments)
CMS Open Payments (Sunshine Act) data for 2023. Shows payments from pharmaceutical and device companies to this provider.
Total received
$138
Total records
3
Payment categories
1
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $138 | 3 |
Monitor this provider
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Source + audit trail
- NPI screened
- 1184626673
- Screen timestamp
- 9/1/2026, 2:58:56 PM
- OIG LEIE snapshot
- 2026-08-31
- State boards consulted
- (none with active adapters)
- Risk band
- EXCLUDED
- Risk score
- 200
- Matches found
- 8
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ProviderScore — Sanctions Screening Record
Record generated 9/1/2026, 2:58:56 PM
NPI 1184626673
EXCLUDED Active federal exclusion in effect.
Screened 9/1/2026, 2:58:56 PM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-08-31 |
| 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 probation (2016-11-27)
- IL medical board suspension (2016-10-27)
- IL medical board suspension (2016-05-27)
- IL medical board suspension (2016-05-27)
- IL medical board suspension (2016-05-27)
- IL medical board suspension (2016-05-27)
- IL medical board suspension (2016-05-27)
- IL medical board probation (2016-02-27)
Source + audit trail
| NPI screened | 1184626673 |
| Screen timestamp | 9/1/2026, 2:58:56 PM |
| OIG LEIE snapshot | 2026-08-31 |
| 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 | 200 |
| 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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