Individual provider · Type 1 NPI

Ampem Darko JNR Siaw, M.B., CH.B

Student in an Organized Health Care Education/Training Program · Peoria, IL

NPI number 1306630231 Active

Practice location

530 NE Glen Oak Ave
Peoria, IL 61637-0001

Call (309) 624-9351 Map

Mailing address

530 NE Glen Oak Ave Bldg 5676
Peoria, IL 61637-0001

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1306630231

Ampem Darko JNR Siaw, M.B., CH.B's National Provider Identifier is 1306630231, issued on Apr 7, 2025. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Peoria, IL. The record was last updated on Apr 7, 2025.