Screening result
NPI 1396720983Screened 6/5/2026, 1:24:19 PM against OIG LEIE (snapshot 2026-05-08) + state board sanctions + SAM.gov + OFAC SDN + FDA Debarment.
WATCH
Historical or low-severity record.
This NPI has a historical record — typically a reinstated exclusion or a less-severe state board action. Surface to compliance review.
Reasons (4)
- • IL medical board probation (2025-09-03)
- • IL medical board probation (2023-05-26)
- • IL medical board probation (2020-10-18)
- • IL medical board suspension (2020-10-18)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Probation | 2025-09-03 | — |
| IL medical | Probation | 2023-05-26 | 2025-09-03 |
| IL medical | Probation | 2020-10-18 | 2023-05-26 |
| IL medical | Suspension | 2020-10-18 | 2023-05-26 |
Financial transparency (Open Payments)
CMS Open Payments (Sunshine Act) data for 2023. Shows payments from pharmaceutical and device companies to this provider.
Total received
$157
Total records
3
Payment categories
1
| Nature of payment | Amount | Records |
|---|---|---|
| Food and Beverage | $157 | 3 |
Monitor this provider
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Source + audit trail
- NPI screened
- 1396720983
- Screen timestamp
- 6/5/2026, 1:24:19 PM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- WATCH
- Risk score
- 60
- Matches found
- 4
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ProviderScore — Sanctions Screening Record
Record generated 6/5/2026, 1:24:19 PM
NPI 1396720983
WATCH Historical or low-severity record.
Screened 6/5/2026, 1:24:19 PM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (4) | 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 (4)
- IL medical board probation (2025-09-03)
- IL medical board probation (2023-05-26)
- IL medical board probation (2020-10-18)
- IL medical board suspension (2020-10-18)
Source + audit trail
| NPI screened | 1396720983 |
| Screen timestamp | 6/5/2026, 1:24:19 PM |
| 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 | WATCH |
| Risk score | 60 |
| Total matches | 4 |
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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