Screening result
NPI 1689659336Screened 6/4/2026, 10:45:21 AM 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 (3)
- • IL medical board suspension (2021-08-01)
- • IL medical board probation (2021-08-01)
- • IL medical board fine (2021-05-28)
State board sanctions
| State / Board | Action | Date | Reinstated |
|---|---|---|---|
| IL medical | Suspension | 2021-08-01 | 2021-08-31 |
| IL medical | Probation | 2021-08-01 | 2024-03-02 |
| IL medical | Fine | 2021-05-28 | — |
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Source + audit trail
- NPI screened
- 1689659336
- Screen timestamp
- 6/4/2026, 10:45:21 AM
- OIG LEIE snapshot
- 2026-05-08
- State boards consulted
- (none with active adapters)
- Risk band
- WATCH
- Risk score
- 50
- Matches found
- 3
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ProviderScore — Sanctions Screening Record
Record generated 6/4/2026, 10:45:21 AM
NPI 1689659336
WATCH Historical or low-severity record.
Screened 6/4/2026, 10:45:21 AM
Lists checked
| Source list | Result | Detail |
|---|---|---|
| OIG LEIE (federal exclusions) | Clear | snapshot 2026-05-08 |
| State board sanctions | FLAGGED (3) | 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 (3)
- IL medical board suspension (2021-08-01)
- IL medical board probation (2021-08-01)
- IL medical board fine (2021-05-28)
Source + audit trail
| NPI screened | 1689659336 |
| Screen timestamp | 6/4/2026, 10:45:21 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 | WATCH |
| Risk score | 50 |
| Total matches | 3 |
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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