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

Impeccable Grace Services PLLC

Organization Psychiatric/Mental Health Nurse Practitioner · NPI 1598677502

Impeccable Grace Services PLLC provides Psychiatric/Mental Health Nurse Practitioner services in Chicago, Illinois. Registered with an NPI since 2026.

In the registry since
2026
What do these letters mean?
PLLC — Professional limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

11724 S Justine St Fl 1
Chicago, IL 60643-5028
Phone: (773) 419-0138
Fax: (619) 984-4174
Show map & directions

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

Specialties & licences

Psychiatric/Mental Health Nurse Practitioner (primary) Taxonomy 363LP0808X

Record details

NPI number1598677502
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Olalekan Fasogbon — Np · (773) 419-0138
NPI enumeratedSeptember 22, 2026
Last updated in NPPESSeptember 22, 2026
Certification dateSeptember 22, 2026
Mailing address11724 S Justine St Fl 1, Chicago, IL 60643-5028

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