Healthcare Provider Details

I. General information

NPI: 1679311203
Provider Name (Legal Business Name): AMEGASHIE HEALTH & WELLNESS PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/17/2024
Last Update Date: 05/01/2026
Certification Date: 05/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

24047 W LOCKPORT ST STE 201E
PLAINFIELD IL
60544-1680
US

IV. Provider business mailing address

2501 CHATHAM RD STE 5270
SPRINGFIELD IL
62704-4188
US

V. Phone/Fax

Practice location:
  • Phone: 630-912-0256
  • Fax: 630-358-6697
Mailing address:
  • Phone: 630-912-0256
  • Fax: 630-358-6697

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LP0808X
TaxonomyPsychiatric/Mental Health Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: HILDRED I AMEGASHIE
Title or Position: NP
Credential: APRN,FNP-BC,PMHNP-BC
Phone: 630-912-0256