NPIMap

Grand Prairie Services

A Medicare group practice based in Chicago Heights, IL: 16 NPIs enrolled under one PECOS associate control ID (PAC ID 7517876691), with 10 clinicians.

Medicare enrollment

Medicare enrollment files
PAC ID
7517876691The PECOS associate control ID: one enrolled organization, which may hold several NPIs
Provider type
Part A Provider - Federally Qualified Health Center (FQHC), Part B Supplier - Clinic/Group Practice
Enrolled in
IL
Enrollments
2
Group size
5 cliniciansAs Care Compare reports it
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Practice locations
16In 12 places

Enrollment records 2

Enrollment IDStateProvider typeNPI
O20041116000208 IL Part B Supplier - Clinic/Group Practice 1346304979
O20190618000620 IL Part A Provider - Federally Qualified Health Center (FQHC) 1447723564

NPIs in this group 16

NPPES NPI Registry

These NPI records belong to the same enrolled organization. Each has its own page.

Practice locations

Locations on the Medicare enrollment

Clinicians 10

Clinicians who reassign their Medicare benefits to this group (8) or whom Care Compare lists as members (5).

Sources for this page