Georgene Acquaah
Individual provider Active NPI Student in an Organized Health Care Education/Training Program · Carol Stream, IL
NPI 1629759147 · NPPES record last updated Jul 27, 2023
Key facts
- NPI
- 1629759147
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Student in an Organized Health Care Education/Training Program 390200000X
- Practice address
- 336 Gundersen Dr
Carol Stream, IL 60188-2403 - Phone
- (630) 871-2100
- NPI assigned
- Jul 27, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outreach Carol Stream | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | Yes |
Addresses
Primary practice location
336 Gundersen Dr
Carol Stream, IL 60188-2403
Mailing address
4350 W Lake Ave Apt A305
Glenview, IL 60026-1458
Phone (224) 200-7364
Other providers in Carol Stream, IL
- A Friendly Ride LLC
- Sana Abbasi
- Christine Margaret Abt
- Accelerated Rehabilitation Centers, LTD
- Accurate Surgical Assist
- Active Health & Restoration, LLC
- Courtney Michelle Adams
- Anthony Adeniran
- Advantage MRI-Carol Stream, LLC
- Adventist Health Partners, Inc
All providers in Carol Stream, IL · Student in an Organized Health Care Education/Training Program in Illinois
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 27, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.