Provider Demographics
NPI:1306531280
Name:AMEKUGEE, SCHOLASTICA M (BSN,RN)
Entity type:Individual
Prefix:MRS
First Name:SCHOLASTICA
Middle Name:M
Last Name:AMEKUGEE
Suffix:
Gender:F
Credentials:BSN,RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3106 HEDGEROW LN
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-2837
Mailing Address - Country:US
Mailing Address - Phone:773-844-3822
Mailing Address - Fax:
Practice Address - Street 1:930 175TH ST STE 3EB
Practice Address - Street 2:
Practice Address - City:HOMEWOOD
Practice Address - State:IL
Practice Address - Zip Code:60430-2039
Practice Address - Country:US
Practice Address - Phone:773-844-3822
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-04-07
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL041480211163WG0000X, 163WH0200X, 163WA2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes163WA2000XNursing Service ProvidersRegistered NurseAdministrator
No163WG0000XNursing Service ProvidersRegistered NurseGeneral Practice
No163WH0200XNursing Service ProvidersRegistered NurseHome Health