Healthcare Provider Details

I. General information

NPI: 1255236436
Provider Name (Legal Business Name): AWEFIELDS OF ILLINOIS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2026
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1211 ISANTI PT
HAMPSHIRE IL
60140-0320
US

IV. Provider business mailing address

1211 ISANTI PT
HAMPSHIRE IL
60140-0320
US

V. Phone/Fax

Practice location:
  • Phone: 773-807-3225
  • Fax:
Mailing address:
  • Phone: 773-807-3225
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number StateNULL

VIII. Authorized Official

Name: MELISSA OJIUGO AWE
Title or Position: OWNER
Credential: RN
Phone: 773-807-3225