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
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 - FamilyFamily

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