Provider Demographics
NPI:1598778144
Name:MENSAH, ALBERT HKP (MD)
Entity Type:Individual
Prefix:
First Name:ALBERT
Middle Name:HKP
Last Name:MENSAH
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4575 WEAVER PKWY
Mailing Address - Street 2:
Mailing Address - City:WARRENVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60555-4039
Mailing Address - Country:US
Mailing Address - Phone:630-505-0300
Mailing Address - Fax:630-836-0667
Practice Address - Street 1:4575 WEAVER PKWY
Practice Address - Street 2:
Practice Address - City:WARRENVILLE
Practice Address - State:IL
Practice Address - Zip Code:60555-4039
Practice Address - Country:US
Practice Address - Phone:630-505-0300
Practice Address - Fax:630-836-0667
Is Sole Proprietor?:No
Enumeration Date:2006-08-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine