Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

IMPECCABLE GRACE SERVICES PLLC
NPI 1598677502
Nurse Practitioner - Psychiatric/Mental Health in Chicago, IL

Q: What is Impeccable Grace Services PLLC's NPI number?

The NPI number for Impeccable Grace Services PLLC is 1598677502. It was assigned to this organization in the NPPES registry on September 22, 2026.

Q: What is Impeccable Grace Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

Active since September 22, 2026

11724 S JUSTINE ST FL 1, CHICAGO, IL 60643(773) 419-0138(619) 984-4174 Get Directions Write a Review

NPPES record added: September 22, 2026. Verified against the NPPES registry weekly; last sync: September 27, 2026.

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About Impeccable Grace Services Pllc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

IMPECCABLE GRACE SERVICES PLLC (NPI 1598677502) is a healthcare organization registered as a psychiatric/mental health in Chicago, Illinois and active in the NPI registry since September 2026. The organization lists Olalekan Olumuyiwa Fasogbon, Np, as its authorized official.

NPPES Registry Identity

NPI1598677502

Entity TypeOrganization

Primary Taxonomy363LP0808X

Legal Business NameIMPECCABLE GRACE SERVICES PLLC

Location Address11724 S JUSTINE ST FL 1Chicago, IL 60643-5028

Mailing Address11724 S Justine St Fl 1Chicago, IL 60643-5028 · (773) 419-0138 · Fax (619) 984-4174

Phone(773) 419-0138

Fax(619) 984-4174

Organization SubpartNo

Authorized OfficialOlalekan Olumuyiwa FasogbonNp · (773) 419-0138

Enumeration DateSeptember 22, 2026

NPPES CertifiedSeptember 22, 2026

✔ NPI 1598677502 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · Psychiatric/Mental HealthPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code363LP0808X

11724 S JUSTINE ST FL 1, Chicago, IL 60643

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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Impeccable Grace Services PLLC's NPI number?

The NPI number for Impeccable Grace Services PLLC is 1598677502. It was assigned to this organization in the NPPES registry on September 22, 2026.

Where is Impeccable Grace Services PLLC located?

Impeccable Grace Services PLLC is located at 11724 S Justine St Fl 1, Chicago, IL 60643. The listed phone number is (773) 419-0138.

What is Impeccable Grace Services PLLC's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Psychiatric/Mental Health, with taxonomy code 363LP0808X.

When was this NPI record last updated?

The NPPES record for Impeccable Grace Services PLLC was last updated on September 22, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.