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

Grace Nwaka Wabomnor, ANP

Individual provider Adult Health Nurse Practitioner · NPI 1548725799

Grace Nwaka Wabomnor, ANP is a Nurse Practitioner in South Holland, Illinois. Qualified in 2015, 11 years ago. Accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
11
Licensed in
IL
In the registry since
2019

Practice location Address checks out

17 E Grandview Dr
South Holland, IL 60473-1099
Phone: (708) 439-5003
Show map & directions

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

Specialties & licences

Adult Health Nurse Practitioner (primary) Taxonomy 363LA2200X · Licence 209018727 (IL)

Record details

NPI number1548725799
Entity typeIndividual (Type 1)
GenderFemale
Credentials ANP
Sole proprietorNo
NPI enumeratedFebruary 1, 2019
Last updated in NPPESMay 4, 2026
Certification dateMay 4, 2026

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2015 (11 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in South Holland