Skip to content
NPISignal

Individual Healthcare Provider

Josephine Minnicino, MD

NPI Record: ActiveFamily Medicine
NPI1528637857
Homewood, Illinois

Provider's NPPES record last updated: March 18, 2025

Overview

Entity Type
Individual Healthcare Provider
NPI
1528637857
Primary Specialty
Family Medicine
Practice Location
Homewood, 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 identified

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 19, 2026, 11:58 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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Family Medicine

    Allopathic & Osteopathic Physicians

    Primary

    Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

    Taxonomy code 207Q00000X

Provider-Reported License Information

Family Medicine (Illinois)
036167133
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

18408 Governors Hwy

Homewood, Illinois 60430-2911

Phone: (708) 647-0571

Additional Practice Location

612 N 11th St

Quincy, Illinois 62301-2662

Phone: (217) 224-8494

Fax: (217) 224-7950

Additional Practice Location

18636 Dixie Hwy

Homewood, Illinois 60430-3741

Phone: (708) 647-0571

Fax: (708) 647-0676

Additional Practice Location

640 W Washington St

Pittsfield, Illinois 62363-1350

Phone: (217) 285-2113

Record Information

Enumeration Date
June 21, 2021
Provider's NPPES Record Last Updated
March 18, 2025
Certification Date
March 14, 2025
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 NPPES

Something 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