Agape Family Wound Care LLC
NPI 1770362196ActiveOrganization· Physician Assistant, Medical· Chicago, IL
Physician Assistant, Medical in Chicago, Illinois, registered in NPPES in September 2023. The authorized official on file is Abdul Moghni, President. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1770362196 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 25, 2023 |
| Last updated in NPPES | May 30, 2025 |
| Certified by provider | May 30, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant, Medical Primary | 363AM0700X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Clinic/Group Practice (IL) |
|---|
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