Healthcare Provider Details

I. General information

NPI: 1538944749
Provider Name (Legal Business Name): VERA APPIAH-DANKWAH
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: AKUA SERWAA ANTWI

II. Dates (important events)

Enumeration Date: 08/28/2023
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16248 S LONGCOMMON LN
PLAINFIELD IL
60586-1057
US

IV. Provider business mailing address

16248 S LONGCOMMON LN
PLAINFIELD IL
60586-1057
US

V. Phone/Fax

Practice location:
  • Phone: 630-885-6973
  • Fax:
Mailing address:
  • Phone: 630-885-6973
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code363LA2100X
TaxonomyAcute Care Nurse Practitioner
License Number209027892
License Number StateIL
# 2
Primary TaxonomyY
Taxonomy Code208100000X
TaxonomyPhysical Medicine & Rehabilitation Physician
License Number209027892
License Number StateIL

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: