Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Dei Gracia Community Health Foundation Nfp

Organization Behavioral Neurology & Neuropsychiatry Physician · NPI 1669383402

Dei Gracia Community Health Foundation Nfp provides Behavioral Neurology & Neuropsychiatry Physician services in Urbana, Illinois. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

909 N Cunningham Ave Ste A
Urbana, IL 61802-1746
Phone: (217) 607-8110
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Primary Care Nurse Practitioner (primary) Taxonomy 363LP2300X
Behavioral Neurology & Neuropsychiatry Physician Taxonomy 2084B0040X

Record details

NPI number1669383402
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Nathalie Rosine Kori Nkenlifack Manhenkeu — Dnp,Fnp,Pmhnp · (217) 819-7328
NPI enumeratedSeptember 12, 2026
Last updated in NPPESSeptember 12, 2026
Certification dateSeptember 12, 2026
Mailing address909 N Cunningham Ave Ste A, Urbana, IL 61802-1746