Individual provider Active NPI

Grace Haab, PA-C

  • Physician Assistant
  • Chicago, IL
National Provider Identifier
1174473235
Registry record updated Feb 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
085011770 Issued in IL
Practice address
1645 W School St
Chicago, IL 60657-2157
Phone
(773) 227-3369
NPI assigned
Jan 29, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 085011770 IL Primary

Addresses

Primary practice location

1645 W School St
Chicago, IL 60657-2157

Mailing address

1645 W School St
Chicago, IL 60657-2157
Phone (773) 227-3669

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20260311000167 IL Practitioner - Physician Assistant 3274016035 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

1645 W School St
Chicago, IL 60657-2157

1645 W School St
Suite a
Chicago, IL 60657-2171

3845 McCoy Dr
Suite 101
Aurora, IL 60504-4428

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
085011770ILMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Lakeview Immediate Care LLC CurrentSince Feb 11, 2026 Accepting new patients

Locations

1645 W School St
Ste A
Chicago, IL 60657
Phone (773) 227-3669

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1769644800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770940800000",
    "number": "1174473235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1645 W SCHOOL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572157",
            "telephone_number": "773-227-3669"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1645 W SCHOOL ST",
            "city": "CHICAGO",
            "state": "IL",
            "postal_code": "606572157",
            "telephone_number": "773-227-3369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAAB",
        "first_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-01-29",
        "last_updated": "2026-02-13",
        "certification_date": "2026-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "IL",
            "license": "085011770",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chicago, IL

Sources for this page

Verify at the official NPI Registry.