Compassionate Provider Services INC
NPI #1912448085 in Des Plaines, Illinois
Provider Information
- NPI Number
- 1912448085
- Entity Type
- Organization
- Organization Name
- Compassionate Provider Services INC
- Primary Specialty
- Nurse Practitioner - Family
- Enumeration Date
- Mar 9, 2017
- Last Updated
- Mar 9, 2017
Practice Location
- Address
- 795 CITADEL CT
- City
- Des Plaines
- State
- Illinois
- ZIP Code
- 60016-6489
- Phone
- (773) 680-7388
Authorized Official
- Name
- GRACE ENEOGWE, FNP
- Title
- OWNER
- Phone
- (773) 680-7388
Specialties & Taxonomy Codes
| Specialty |
|---|
| Nurse Practitioner - Family — Family |
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