Individual
KOFI ANKOMAH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
NP
Contact information
Practice address
4840 W BYRON ST, CHICAGO, IL 60641-2712
(773) 282-7800
(773) 282-2163
Mailing address
4840 W BYRON ST, CHICAGO, IL 60641-2712
(224) 866-9641
(773) 282-2163
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
2021013060
IL
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
2023032820
IL
Other
Enumeration date
05/06/2021
Last updated
02/05/2025
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