NPIMap

Northern Illinois University

A Medicare group practice based in Dekalb, IL: 5 NPIs enrolled under one PECOS associate control ID (PAC ID 2860440195), with 17 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
2860440195The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
1
Group size
10 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
1In 1 place

Enrollment records 1

Enrollment IDStateProvider typeNPI
O20050104000460 IL Part B Supplier - Clinic/Group Practice 1144327487

NPIs in this group 5

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 17

Clinicians who reassign their Medicare benefits to this group (17) or whom Care Compare lists as members (10).

Sources for this page