Individual Healthcare Provider
Robert C Prentice, D.O.
Provider's NPPES record last updated: December 15, 2021
Overview
- Entity Type
- Individual Healthcare Provider
- NPI
- 1194789354
- Primary Specialty
- Internal Medicine — Cardiovascular Disease
- Practice Location
- Palos Park, Illinois
- Sole Proprietor
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 18, 2026, 1:51 AM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Internal Medicine
Cardiovascular Disease
Allopathic & Osteopathic Physicians
An internist who specializes in diseases of the heart and blood vessels and manages complex cardiac conditions such as heart attacks and life-threatening, abnormal heartbeat rhythms.
Taxonomy code 207RC0000X Internal Medicine
Interventional Cardiology
Allopathic & Osteopathic Physicians
An area of medicine within the subspecialty of cardiology, which uses specialized imaging and other diagnostic techniques to evaluate blood flow and pressure in the coronary arteries and chambers of the heart and uses technical procedures and medications to treat abnormalities that impair the function of the cardiovascular system.
Taxonomy code 207RI0011X
Provider-Reported License Information
- Internal Medicine (Illinois)
- 036067066
- Internal Medicine (Illinois)
- 036067066
Practice Locations
Practice Location
13011 S 104th Ave Ste 100
Palos Park, Illinois 60464-1508
Phone: (708) 274-3278
Additional Practice Location
10260 191st St Ste 102
Mokena, Illinois 60448-8802
Phone: (708) 478-4224
Fax: (708) 478-4033
Additional Practice Location
19001 Old Lagrange Rd
Mokena, Illinois 60448-8012
Phone: (708) 478-4224
Fax: (708) 478-4033
Record Information
- Enumeration Date
- April 14, 2006
- Provider's NPPES Record Last Updated
- December 15, 2021
- Certification Date
- December 15, 2021
- NPISignal NPPES Dataset
- August 2026
See Something Wrong?
Incorrect provider information
Everything on this page comes directly from the NPPES data CMS publishes. NPISignal cannot edit a provider's record — only the provider or organization can, directly through NPPES.
Update a record through NPPESSomething wrong with this page?
If NPISignal is displaying this data incorrectly — a formatting error, a broken link, a mismatch with the source file — let us know.
Report a display issue