MEDICARE: SEMILOORE MARY AKERELE

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	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	277004478	IL

General Provider Information

NPI Number	:	1588395842
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SEMILOORE MARY AKERELE

Provider Business Mailing Address
First Line	:	8541 N SHERMER RD
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-2242
Country	:	US
Telephone Number	:	857-214-9803
Fax Number	:

Provider Business Practice Location Address
First Line	:	8541 N SHERMER RD
Second Line	:
City	:	NILES
State	:	IL
Zip	:	60714-2242
Country	:	US
Telephone Number	:	857-214-9803
Fax Number	:

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

Provider Enumeration Date	:	06/17/2022
Last Update Date	:	05/27/2026

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