Compassionate Provider Services Inc
NPI 1912448085ActiveOrganization· Nurse Practitioner, Family· Des Plaines, IL
Nurse Practitioner, Family in Des Plaines, Illinois, registered in NPPES in March 2017. The authorized official on file is Grace Eneogwe, FNP, Owner. Enrolled in Medicare as part b supplier - clinic/group practice.
Overview
| NPI | 1912448085 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Mar 9, 2017 |
| Last updated in NPPES | Mar 9, 2017 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Nurse Practitioner, Family Primary | 363LF0000X | 209-007655 | IL |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 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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