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Inspection Detail
Case Status: CLOSED
Inspection: 758561.015 - Paul C. Tack, Md Dba Center For Internal Medicine
Inspection Information - Office: Chicago North Area Office
Inspection Nr: 758561.015
Report ID: 0524200
Date Opened: 11/27/2012
Site Address:
Paul C. Tack, Md Dba Center For Internal Medicine
501 Riverside Drive, Suite 216
Gurnee, IL 60031
Mailing Address:
501 Riverside Drive, Suite 216, Gurnee, IL 60031
Union Status: NonUnion
SIC:
NAICS: 621111/Offices of Physicians (except Mental Health Specialists)
Inspection Type: Complaint
Scope: Partial
Advanced Notice: N
Ownership: Private
Safety/Health: Health
Close Conference: 11/27/2012
Emphasis:
Case Closed: 04/16/2013
| Type | Activity Nr | Safety | Health |
|---|---|---|---|
| Complaint | 666251 | Yes |
Case Status: CLOSED
| Violations/Penalties | Serious | Willful | Repeat | Other | Unclass | Total |
|---|---|---|---|---|---|---|
| Initial Violations | 6 | 3 | 9 | |||
| Current Violations | 6 | 3 | 9 | |||
| Initial Penalty | $11,200 | $0 | $0 | $0 | $0 | $11,200 |
| Current Penalty | $6,600 | $0 | $0 | $0 | $0 | $6,600 |
| FTA Penalty | $0 | $0 | $0 | $0 | $0 | $0 |
| # | Citation ID | Citation Type | Standard Cited | Issuance Date | Abatement Due Date | Current Penalty | Initial Penalty | FTA Penalty | Contest | Latest Event | Note |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 1. | 01001 | Serious | 19101030 C01 I | 01/31/2013 | 03/20/2013 | $1,200 | $2,000 | $0 | I - Informal Settlement | ||
| 2. | 01002 | Serious | 19101030 D02 X | 01/31/2013 | 03/20/2013 | $1,560 | $2,800 | $0 | I - Informal Settlement | ||
| 3. | 01003A | Serious | 19101030 F01 I | 01/31/2013 | 03/20/2013 | $960 | $1,600 | $0 | I - Informal Settlement | ||
| 4. | 01003B | Serious | 19101030 F02 I | 01/31/2013 | 03/20/2013 | $0 | $0 | $0 | I - Informal Settlement | ||
| 5. | 01004 | Serious | 19101030 G02 I | 01/31/2013 | 03/20/2013 | $960 | $1,600 | $0 | I - Informal Settlement | ||
| 6. | 01005 | Serious | 19101200 E01 | 01/31/2013 | 03/20/2013 | $960 | $1,600 | $0 | I - Informal Settlement | ||
| 7. | 01006 | Serious | 19101200 H01 | 01/31/2013 | 03/20/2013 | $960 | $1,600 | $0 | I - Informal Settlement | ||
| 8. | 02001 | Other | 19100141 A05 | 01/31/2013 | 03/20/2013 | $0 | $0 | $0 | I - Informal Settlement | ||
| 9. | 02002 | Other | 19101200 E01 I | 01/31/2013 | 03/20/2013 | $0 | $0 | $0 | I - Informal Settlement | ||
| 10. | 02003 | Other | 19101200 G01 | 01/31/2013 | 03/20/2013 | $0 | $0 | $0 | I - Informal Settlement |