MEDICARE: NYAMEATE ADU ASANTE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	183500000X	Pharmacist	051.307919	IL

General Provider Information

NPI Number	:	1548127038
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NYAMEATE ADU ASANTE

Provider Business Mailing Address
First Line	:	18045 KOSTNER AVE
Second Line	:
City	:	COUNTRY CLUB HILLS
State	:	IL
Zip	:	60478-5060
Country	:	US
Telephone Number	:	312-705-2004
Fax Number	:	312-601-0065

Provider Business Practice Location Address
First Line	:	1034 W LAKE ST
Second Line	:
City	:	CHICAGO
State	:	IL
Zip	:	60607-1716
Country	:	US
Telephone Number	:	312-705-2004
Fax Number	:	312-605-0065

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/06/2026
Last Update Date	:	01/06/2026

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Directions to “ NYAMEATE ADU ASANTE ” Practice Location

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