Healthcare Provider Details

I. General information

NPI: 1194245324
Provider Name (Legal Business Name): SAMEKA RENEE DOWELL NP
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: SAMEKA RENEE DOWELL MILLS NP

II. Dates (important events)

Enumeration Date: 06/20/2017
Last Update Date: 12/10/2025
Certification Date: 12/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18125 ROY ST UNIT 622
LANSING IL
60438-6655
US

IV. Provider business mailing address

18125 ROY ST UNIT 622
LANSING IL
60438-6655
US

V. Phone/Fax

Practice location:
  • Phone: 773-345-7529
  • Fax: 773-825-8327
Mailing address:
  • Phone: 773-219-6483
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number28191437A
License Number StateIN
# 2
Primary TaxonomyN
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License NumberC-APN.0992656-C-NP
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number277001225
License Number StateIL
# 4
Primary TaxonomyN
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License NumberC-APN.0992656-C-NP
License Number StateCO
# 5
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number277001225
License Number StateIL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: