Active NPI
Aisha Agyeiwaa Darko, FNP
- Nurse Practitioner
- Libertyville, IL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 209.024050
- 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, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 209.024050 | IL | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Darko Wellness Inc | Single Specialty | Current | Accepting new patients |
| County of Lake | Current | Accepting new patients | |
| Global Health Care SC | Single Specialty | Current | Accepting new patients |
| County of Lake | Single Specialty | Current | Accepting new patients |
| Darko Wellness Inc | Single Specialty | Current | Accepting new patients |
| County of Lake | Current | 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.
-
dba Darko Wellness LLC
- Nurse Practitioner
- Libertyville, IL
- NPI 1407548514
Single Specialty
-
dba Lake County Health Department and Community Health Center
- Public Health or Welfare Agency
- Waukegan, IL
- NPI 1013920750
Single Specialty
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Waukegan, IL
- NPI 1376717702
-
dba Lake County Health Department and Community Health Center
- Federally Qualified Health Center (FQHC)
- Round Lake, IL
- NPI 1639588254
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northwestern Medicine Central Dupage Hospital
- General Acute Care Hospital
- Winfield, IL
- NPI 1003864810
-
dba Northwestern Medicine Central Dupage Hospital
- Psychiatric Hospital Unit
- Winfield, IL
- NPI 1740230895
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
- Holden Danielewicz, DMD
- Jennifer Katherine Dannegger, OTR/L
- Darko Wellness Inc (Darko Wellness LLC)
- Darko Wellness Inc (Darko Wellness LLC)
- Darko Wellness Inc
- David Gray P.C. (Gray Matter Therapy)
- David P. Potts, DDS, LTD (Lake County Family Dental Care)
- Deborah Davis, SLP
- Jordan Davis, DC
- Megan Davis, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.