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

Keisha Nicole House

Individual provider Family Nurse Practitioner · NPI 1619400074

Keisha Nicole House is a Nurse Practitioner in Chicago, Illinois. Qualified in 2017, 9 years ago. Practices with Grand Prairie Services, a 5-clinician group and accepts Medicare assignment. Licensed in Illinois.

Years since qualifying
9
Licensed in
IL
In the registry since
2017
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Practice location Address checks out

3240 W Division St
Chicago, IL 60651-2405
Phone: (312) 413-7425
Fax: (312) 413-2588
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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 277000995 (IL)

Record details

NPI number1619400074
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedApril 4, 2017
Last updated in NPPESJanuary 13, 2021
Certification dateJanuary 13, 2021

Medicare enrollment

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

Medicare specialtyNURSE PRACTITIONER
Medical schoolOTHER
Graduated 2017 (9 years in practice)
Group practice Grand Prairie Services — 5 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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