Provider Demographics
NPI:1679311203
Name:AMEGASHIE HEALTH & WELLNESS PLLC
Entity type:Organization
Organization Name:AMEGASHIE HEALTH & WELLNESS PLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTALHEALTH NURSE PRACTITIONER
Authorized Official - Prefix:MRS
Authorized Official - First Name:HILDRED
Authorized Official - Middle Name:I
Authorized Official - Last Name:AMEGASHIE
Authorized Official - Suffix:
Authorized Official - Credentials:APRN, PMHNP-BC
Authorized Official - Phone:630-819-4394
Mailing Address - Street 1:2501 CHATHAM RD # 5270
Mailing Address - Street 2:
Mailing Address - City:SPRINGFIELD
Mailing Address - State:IL
Mailing Address - Zip Code:62704-4188
Mailing Address - Country:US
Mailing Address - Phone:630-394-9821
Mailing Address - Fax:
Practice Address - Street 1:2501 CHATHAM RD # 5270
Practice Address - Street 2:
Practice Address - City:SPRINGFIELD
Practice Address - State:IL
Practice Address - Zip Code:62704-4188
Practice Address - Country:US
Practice Address - Phone:630-394-9821
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-17
Last Update Date:2024-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty