EXCLUDEDPROVIDER
Individual Revocation

Stacey Galanis

Morton Grove, IL 60053

Public HHS-OIG LEIE exclusion record

Stacey Galanis of Morton Grove, IL is registered in the CMS NPI Registry under National Provider Identifier (NPI) 1689726465 with a primary specialty of Dentist. According to the HHS-OIG List of Excluded Individuals/Entities (LEIE), Stacey Galanis is currently excluded from participation in federally funded health care programs due to license revocation, suspension, or surrender, as of June 19, 2014.

Status
Currently listed by HHS-OIG
Record type
Individual
Location
Morton Grove, IL 60053
Exclusion date
June 19, 2014
Exclusion type
Revocation (1128b4)
NPI
1689726465

Record summary

Stacey Galanis appears in the HHS-OIG List of Excluded Individuals/Entities (LEIE) public dataset as an individual record associated with Morton Grove, Illinois. The latest imported LEIE dataset lists this record as currently excluded from participation in federally funded health care programs. The exclusion date shown in the source record is June 19, 2014, and the exclusion type is 1128b4, identified by HHS-OIG as license revocation, suspension, or surrender.

Source record

SourceHHS-OIG LEIE (public dataset)
Record typeIndividual
Current statusCurrently listed by HHS-OIG
Exclusion dateJune 19, 2014
Exclusion typeLicense revocation, suspension, or surrender (1128b4)
NPI1689726465
Source dataset dateMay 2026

What this exclusion type means

HHS-OIG identifies exclusion type 1128b4 as “License revocation, suspension, or surrender.” License revocation, suspension, or surrender (permissive exclusion).

This exclusion type is a statutory category used by HHS-OIG in the LEIE dataset. The category describes the legal authority associated with the exclusion record, not a separate investigation or additional reporting by Excluded Provider.

Location and provider classification

This LEIE record is associated with Morton Grove, IL 60053. The listed provider category is Individual - Licensed Health Care Service Provider. The listed specialty is Dentist.

NPI Registry context

The LEIE record lists NPI 1689726465. CMS NPPES public registry data lists this NPI as an individual record with primary taxonomy Dentist (122300000X). Registered practice location: Evanston, IL. NPI enumeration date: Jan 18, 2007. NPPES status: Active. The NPI Registry lists credential: D.D.S..

NPI Registry data is administrative provider-identification data from CMS. It does not independently verify or explain the HHS-OIG exclusion record above. Verify exclusion status directly with HHS-OIG.

Other excluded providers in Morton Grove, IL

Other individuals and entities currently listed in the HHS-OIG LEIE public dataset with a Morton Grove, IL address.

Lionel Paul Gassman Individual Program Crime
Morton Grove, IL · Conviction of program-related crimes · Excluded Oct 2020
Ana Nerissa Tolentino Individual Program Crime
Morton Grove, IL · Conviction of program-related crimes · Excluded Apr 2018
Armando Tolentino Individual Program Crime
Morton Grove, IL · Conviction of program-related crimes · Excluded Nov 2017
Frederick Magsino Individual Program Crime
Morton Grove, IL · Conviction of program-related crimes · Excluded Jul 2016
Prasert Luangkesorn Individual Program Suspension
Morton Grove, IL · Exclusion or suspension under a federal or state health care program · Excluded Feb 2000
Nancie Cohen Individual Program Crime
Morton Grove, IL · Conviction of program-related crimes · Excluded Jul 1986

How to verify this record

This page is a public-record summary and should be treated as a possible LEIE match, not final identity verification. To verify the record, use the official HHS-OIG LEIE search and compare available identifying information through the official process. Name, location, provider category, specialty, exclusion date, and NPI should be treated as matching clues rather than final proof of identity.

What this page does not include

This page summarizes the HHS-OIG LEIE public dataset only. It does not search state Medicaid exclusion lists, state licensing-board actions, court records, malpractice records, employment history, civil lawsuits, or non-public investigations.

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Related

More Excluded Individuals in Illinois More Records in Morton Grove More Revocation Records