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PAMELA ANTELL — OIG Excluded Provider (DEERFIELD, IL, 1128a1)

PAMELA ANTELL — OIG Excluded Provider (DEERFIELD, IL, 1128a1) is one of 9,000 exclusions in the ExcludeCheck dataset. Key details — Name: PAMELA ANTELL; Type: Individual; Provider category: IND- LIC HC SERV PRO.

NamePAMELA ANTELL
TypeIndividual
Provider categoryIND- LIC HC SERV PRO
SpecialtyPSYCHOLOGY
NPI1063575728
CityDEERFIELD
StateIL
ZIP60015
Exclusion authority1128a1
Exclusion reasonConviction of program-related crimes
Exclusion date2020-12-20
SourceHHS-OIG LEIE

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