Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Grace Ngozi Eneogwe, NURSEPRACTITIONER

Individual provider Primary Care Nurse Practitioner · NPI 1467684332

Grace Ngozi Eneogwe, NURSEPRACTITIONER is a Nurse Practitioner in Chicago, Illinois. Qualified in 2008, 18 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
18
Licensed in
IL
In the registry since
2009
Specialties on file
2
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Practice location Address checks out

1901 W Harrison St
Chicago, IL 60612-3714
Phone: (312) 864-6000
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Family Nurse Practitioner (primary) Taxonomy 363LF0000X · Licence 209007655 (IL)
Primary Care Nurse Practitioner Taxonomy 363LP2300X · Licence 209007655 (IL)

Record details

NPI number1467684332
Entity typeIndividual (Type 1)
GenderFemale
Credentials NURSEPRACTITIONER
Sole proprietorNo
NPI enumeratedAugust 11, 2009
Last updated in NPPESMarch 7, 2024
Certification dateMarch 7, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2008 (18 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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