Teddy Enoh, MD
Individual provider Active NPI Acute Care Nurse Practitioner · Plano, IL
NPI 1114484185 · NPPES record last updated Jun 19, 2026
Key facts
- NPI
- 1114484185
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Acute Care Nurse Practitioner 363LA2100X
- License
- 209031044 (IL)
- Practice address
- 4127 Osbron St
Plano, IL 60545-1498 - Phone
- (630) 340-0409
- NPI assigned
- Feb 26, 2019
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 6
Hospital & facility affiliations 5
Medicare Care Compare profile
- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Physicians to You Home Health Limited
Practice addresses (Care Compare)
6916 Cermak Rd
Berwyn, IL 60402-2244
Phone (708) 933-3840
Hospital & facility affiliations
- Ace Health Care Services, LLC
- Metropolitan Home Health Care, Inc
- Devoted Healthcare, Inc
- Northwestern Medicine Central Dupage Hospital
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20250102002380 | IL | Practitioner - Nurse Practitioner | 7315474350 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine, Nurse Practitioner
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Osf Multi-Specialty Group | Current |
Accepting new patients | |
| Skyline Healthcare | Current |
Accepting new patients | |
| City Home Health Services LLC | Current | Accepting new patients | |
| Central PA Pharmacy LLC. | Current | Accepting new patients | |
| Physicians to You Home Health Limited | Home Health Aide | Current |
Accepting new patients |
| Cardinal Medical Group, LTD. | Past |
Accepting new patients |
Locations
6916 Cermak Rd
Berwyn, IL 60402
Phone (708) 933-3840
8600 State Route 91
Ste 130
Peoria, IL 61615
Phone (309) 683-5050
2500 W Reynolds St
Ste 101
Pontiac, IL 61764
Phone (815) 844-4062
2500 W Reynolds St
Pontiac, IL 61764
Phone (815) 842-2828
Interoperability endpoints
- teddy.enoh.1@28492.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Acute Care Nurse Practitioner | 363LA2100X | 209031044 | IL | Yes |
Addresses
Primary practice location
4127 Osbron St
Plano, IL 60545-1498
Mailing address
4127 Osbron St
Plano, IL 60545-1498
Phone (630) 340-0490
Other practice location 1
2500 W Reynolds St
Pontiac, IL 61764-9774
Phone (815) 842-2828
Other providers in Plano, IL
- Karrie Lynn Drent
- Madison Marie Duarte
- Sara Duffy
- Denise Marie Duggan
- Dui Counseling Center of Kendall County
- Fox River Pediatrics SC
- Kari Lee Frantzen
- Friendship Home Care, LLC
- Cristie Fry
- Joanne Garcon
All providers in Plano, IL · Acute Care Nurse Practitioner in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 19, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.