Compassionate Provider Services Inc

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

209-007655 Issued in IL

Legal business name

COMPASSIONATE PROVIDER SERVICES INC

Practice address

795 Citadel CT
Des Plaines, IL 60016-6489

Phone

(773) 680-7388

NPI assigned

Mar 9, 2017

Organization subpart

No

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

Authorized official

Name

Grace Eneogwe, FNPNPI 1467684332

Title

Owner

Phone

(773) 680-7388

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in IL

Enrollment records 1

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Grace Ngozi Eneogwe, NURSE PRACTITIONER

  • Family Nurse Practitioner
  • Chicago, IL
  • NPI 1467684332
  Medicare reassignment Authorized official
• Victoria N Bukenya, NP

  • Family Nurse Practitioner
  • Hoffman Estates, IL
  • NPI 1649884768
  Medicare reassignment NPD

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

{
    "created_epoch": "1489017600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1489017600000",
    "number": "1912448085",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "795 CITADEL CT",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166489",
            "telephone_number": "773-680-7388"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "795 CITADEL CT",
            "city": "DES PLAINES",
            "state": "IL",
            "postal_code": "600166489",
            "telephone_number": "773-680-7388"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPASSIONATE PROVIDER SERVICES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-09",
        "last_updated": "2017-03-09",
        "status": "A",
        "authorized_official_last_name": "ENEOGWE",
        "authorized_official_first_name": "GRACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "773-680-7388",
        "authorized_official_credential": "FNP"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "IL",
            "license": "209-007655",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kaitlyn Rose Cohn, BT
• Sarah Cole, PA-C
• Maria Noreen Collado, RPT
• Ann M Collins, DC
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• Joan Constantine

• Family Nurse Practitioner in Des Plaines, IL
• Providers in Des Plaines, IL by specialty
• Family Nurse Practitioner in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.