MEDICARE: SAMEKA RENEE DOWELL NP

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	363LF0000X	Family Nurse Practitioner	28191437A	IN
2	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	C-APN.0992656-C-NP	CO
3	363LF0000X	Family Nurse Practitioner	277001225	IL
4	363LF0000X	Family Nurse Practitioner	C-APN.0992656-C-NP	CO
5	363LP0808X	Psychiatric/Mental Health Nurse Practitioner	277001225	IL

General Provider Information

NPI Number	:	1194245324
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SAMEKA RENEE DOWELL NP

Provider Business Mailing Address
First Line	:	18125 ROY ST UNIT 622
Second Line	:
City	:	LANSING
State	:	IL
Zip	:	60438-6655
Country	:	US
Telephone Number	:	773-219-6483
Fax Number	:

Provider Business Practice Location Address
First Line	:	18125 ROY ST UNIT 622
Second Line	:
City	:	LANSING
State	:	IL
Zip	:	60438-6655
Country	:	US
Telephone Number	:	773-345-7529
Fax Number	:	773-825-8327

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

Provider Enumeration Date	:	06/20/2017
Last Update Date	:	12/10/2025

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