MEDICARE: PRIDE IN CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	363LF0000X	Family Nurse Practitioner

General Provider Information

NPI Number	:	1831070598
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	PRIDE IN CARE LLC

Provider Business Mailing Address
First Line	:	11900 SOUTHWEST HWY STE 204
Second Line	:
City	:	PALOS PARK
State	:	IL
Zip	:	60464-1307
Country	:	US
Telephone Number	:	312-316-8030
Fax Number	:

Provider Business Practice Location Address
First Line	:	11900 SOUTHWEST HWY STE 204
Second Line	:
City	:	PALOS PARK
State	:	IL
Zip	:	60464-1307
Country	:	US
Telephone Number	:	312-316-8030
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	SCORPIA DOYLE
Credential	:	APRN, FNP-BC
Telephone Number	:	773-619-6017

Provider Enumeration Date	:	09/09/2025
Last Update Date	:	09/09/2025

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Directions to “PRIDE IN CARE LLC ” Practice Location

Language	Start Address	Practice Location

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