RANDY LYLE CALISOFF HHS-OIG excluded
Excluded under 1128b4 · License revocation, suspension or surrender (permissive) · effective 2024-08-20
What this means
This provider is excluded from participation in all US federal healthcare programs (Medicare, Medicaid, TRICARE, etc.). Federal healthcare programs may not pay for any items or services furnished, ordered, or prescribed by this excluded individual.
Key facts
- OIG internal ID
- 33792
- NPI
- 1205920659
- General field
- PHYSICIAN (MD, DO)
- Specialty
- PAIN MANAGEMENT
- Exclusion type
- 1128b4
- Exclusion date
- 2024-08-20
- Last known location
- LAKE VILLA, IL, 60046
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