Active NPI
Grace Mental & Medical Healthcare Services PLCC
- Primary Care Nurse Practitioner
- Carol Stream, IL
National Provider Identifier
1659275758
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- Legal business name
- GRACE MENTAL & MEDICAL HEALTHCARE SERVICES PLCC
- Practice address
- 862 Dugout TRL
Carol Stream, IL 60188-3327 - Phone
- (630) 946-7549
- NPI assigned
- Oct 5, 2026
- Last updated
- Oct 5, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Abraham Y. Luba, FNP/PMHNP
- Title
- Nurse Practitioner
- Phone
- (630) 946-7549
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | NU | Primary |
Addresses
Primary practice location
862 Dugout TRL
Carol Stream, IL 60188-3327
Mailing address
862 Dugout TRL
Carol Stream, IL 60188-3327
Phone (630) 946-7549
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatric/Mental Health Nurse Practitioner
- Oak Park, IL
- NPI 1760900799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1791158400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1791158400000",
"number": "1659275758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "862 DUGOUT TRL",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601883327",
"telephone_number": "630-946-7549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "862 DUGOUT TRL",
"city": "CAROL STREAM",
"state": "IL",
"postal_code": "601883327",
"telephone_number": "630-946-7549"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GRACE MENTAL & MEDICAL HEALTHCARE SERVICES PLCC",
"organizational_subpart": "NO",
"enumeration_date": "2026-10-05",
"last_updated": "2026-10-05",
"certification_date": "2026-10-05",
"status": "A",
"authorized_official_last_name": "LUBA",
"authorized_official_first_name": "ABRAHAM",
"authorized_official_middle_name": "Y.",
"authorized_official_title_or_position": "NURSE PRACTITIONER",
"authorized_official_telephone_number": "630-946-7549",
"authorized_official_credential": "FNP/PMHNP"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Carol Stream, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.