Individual provider Active NPI

Aisha Agyeiwaa Darko, FNP

  • Nurse Practitioner
  • Libertyville, IL
National Provider Identifier
1285304105
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
209.024050 Issued in IL
Practice address
333 Peterson Rd Ste 240
Libertyville, IL 60048-1085
Phone
(224) 360-5020
Fax
(224) 246-8125
NPI assigned
Sep 14, 2021
Last updated
Sep 21, 2023By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse PractitionerGroup: 193400000X SINGLE SPECIALTY GROUP 363L00000X 209.024050 IL Primary

Addresses

Primary practice location

333 Peterson Rd Ste 240
Libertyville, IL 60048-1085

Mailing address

333 Peterson Rd Ste 240
Libertyville, IL 60048-1085
Phone (224) 360-5020

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220311000988 IL Practitioner - Nurse Practitioner 9436544368 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1830 Carl Dr
Round Lake Beach, IL 60073-1394
Phone (224) 864-2124

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
209.024050ILMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Darko Wellness Inc Single Specialty CurrentSince Jun 18, 2023 Accepting new patients
County of Lake CurrentSince Feb 28, 2022 Accepting new patients
Global Health Care SC Single Specialty CurrentSince Oct 1, 2025 Accepting new patients
County of Lake Single Specialty Current Accepting new patients
Darko Wellness Inc Single Specialty CurrentSince Jun 18, 2023 Accepting new patients
County of Lake CurrentSince Feb 28, 2022 Accepting new patients
Darko Wellness Inc Past Accepting new patients

Locations

7447 W Talcott Ave
Ste 512
Chicago, IL 60631
Phone (773) 237-8722

7447 W Talcott Ave
Ste 523
Chicago, IL 60631
Phone (773) 205-9800

333 Peterson Rd
Ste 240
Libertyville, IL 60048
Phone (224) 360-5020

2215 Audrey Nixon Blvd
North Chicago, IL 60064
Phone (847) 377-8800

1875 W Dempster St
Ste 605
Park Ridge, IL 60068
Phone (847) 439-8780

2400 Belvidere Rd
Waukegan, IL 60085
Phone (847) 377-8400

3010 Grand Ave
Waukegan, IL 60085
Phone (847) 377-8296

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1631577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1285304105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 PETERSON RD STE 240",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481085",
            "telephone_number": "224-360-5020",
            "fax_number": "224-246-8125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "333 PETERSON RD STE 240",
            "city": "LIBERTYVILLE",
            "state": "IL",
            "postal_code": "600481085",
            "telephone_number": "224-360-5020",
            "fax_number": "224-246-8125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DARKO",
        "first_name": "AISHA",
        "middle_name": "AGYEIWAA",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-14",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse Practitioner",
            "state": "IL",
            "license": "209.024050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Libertyville, IL

Sources for this page

Verify at the official NPI Registry.