Provider Demographics
NPI:1760621932
Name:DANKWAH, KAREN A (RN)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:A
Last Name:DANKWAH
Suffix:
Gender:F
Credentials:RN
Other - Prefix:MS
Other - First Name:KAREN
Other - Middle Name:A
Other - Last Name:DANKWAH
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:RN
Mailing Address - Street 1:4027 S INDIANA AVE
Mailing Address - Street 2:APT #1
Mailing Address - City:CHICAGO
Mailing Address - State:IL
Mailing Address - Zip Code:60653-2111
Mailing Address - Country:US
Mailing Address - Phone:773-924-0243
Mailing Address - Fax:
Practice Address - Street 1:4027 S INDIANA AVE
Practice Address - Street 2:
Practice Address - City:CHICAGO
Practice Address - State:IL
Practice Address - Zip Code:60653-2111
Practice Address - Country:US
Practice Address - Phone:773-924-0243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-12
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041307590163W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163W00000XNursing Service ProvidersRegistered Nurse