Individual
MR. FREDERICK ANTWI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12500 AURORA DR, PLEASANT PRAIRIE, WI 53158-1227
(262) 857-5000
Mailing address
3918 CHURCH ST, EVANSTON, IL 60203-1513
(773) 616-4647
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
041409625
IL
363L00000X
Nurse Practitioner
Primary
041409625
IL
363L00000X
Nurse Practitioner
Primary
17818-33
WI
363L00000X
Nurse Practitioner
Primary
209021255
IL
363L00000X
Nurse Practitioner
277003776
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100404142
—
WI
Enumeration date
04/08/2020
Last updated
03/30/2026
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