Ama Jane Baffoe, MHP

Individual provider Active NPI Addiction (Substance Use Disorder) Counselor · Waukegan, IL

NPI 1336030758 · NPPES record last updated Jul 14, 2025

Key facts

NPI
1336030758
Entity type
Individual (NPI type 1)
Primary specialty
Addiction (Substance Use Disorder) Counselor 101YA0400X
Practice address
3002 Grand Ave
Waukegan, IL 60085-2321
Phone
(847) 377-8200
Fax
(847) 984-5676
NPI assigned
Jul 14, 2025
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Interoperability endpoints

  • Direct secure messaging: ama.baffoe.p1@direct.lakecountyil.nextgenshare.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) Counselor 101YA0400X Yes

Addresses

Primary practice location

3002 Grand Ave
Waukegan, IL 60085-2321

Mailing address

3002 Grand Ave
Waukegan, IL 60085-2321
Phone (847) 377-8200

Other providers in Waukegan, IL

All providers in Waukegan, IL · Addiction (Substance Use Disorder) Counselor in Illinois

Sources for this page

Verify at the official NPI Registry.