OrganizationCompassionate Provider Services IncNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address795 Citadel Ct, Des Plaines, IL 60016-6489(773) 680-7388PECOS EnrollmentBased on the most recent information from CMS, provider Compassionate Provider Services Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1912448085Provider TypeOrganizationFull NameCompassionate Provider Services IncSubpartNoEnumeration Date3/9/2017Last Updated3/9/2017Contact InformationPractice LocationPractice Address795 Citadel Ct, Des Plaines, IL 60016-6489Phone(773) 680-7388FaxUnlisted FaxMailing LocationMailing Address795 Citadel Ct, Des Plaines, IL 60016-6489Phone(773) 680-7388FaxUnlisted FaxAuthorized OfficialNameEneogwe, Grace (Owner)Phone(773) 680-7388Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense209-007655Illinois