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Individual

MRS. SCHOLASTICA M AMEKUGEE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BSN,RN.

Contact information

Practice address
930 175TH ST STE 3EB, HOMEWOOD, IL 60430-2039
(773) 844-3822
Mailing address
3106 HEDGEROW LN, HOMEWOOD, IL 60430-2837
(773) 844-3822

Taxonomy

Speciality
Code
Description
License number
State
163WA2000X
Administrator Registered Nurse
Primary
041480211
IL
163WG0000X
General Practice Registered Nurse
041480211
IL
163WH0200X
Home Health Registered Nurse
041480211
IL

Other

Enumeration date
04/07/2023
Last updated
04/07/2023
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