MATT BELMONT — OIG Excluded Provider (MORTON, IL, 1128b4)
MATT BELMONT — OIG Excluded Provider (MORTON, IL, 1128b4) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: MATT BELMONT; Type: Individual; Provider category: PHARMACY.
| Name | MATT BELMONT |
|---|---|
| Type | Individual |
| Provider category | PHARMACY |
| Specialty | TECHNICIAN |
| City | MORTON |
| State | IL |
| ZIP | 61550 |
| Exclusion authority | 1128b4 |
| Exclusion reason | License revocation, suspension, or surrender |
| Exclusion date | 1998-03-19 |
| Source | HHS-OIG LEIE |
$1499/mo
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